Alternative Surgical Methods in Patients with Recurrent Palmar Hyperhidrosis and Compensatory Hyperhidrosis

Abstract

Recurrent hyperhidrosis after thoracic sympathectomy is an uncomfortable condition, and compensatory hyperhidrosis (CH) is one of the most troublesome side effects. Here, we describe two patients with recurrent palmar hyperhidrosis (PH) and CH over the whole body simultaneously. They were treated with bilateral T4 sympathetic clipping and reconstruction of the sympathetic nerve from a T5 to T8 sympathetic nerve graft, which was transferred to the resected T3 sympathetic bed site. They reported improvements in sweating and were fully satisfied with the results. Our method can be considered as an alternative approach for patients with recurrent PH and CH.

Simpatectomia bilateral R5-R8 no tratamento de hiperidrose compensatória: análise de complicações e satisfação dos pacientes.

“…and "much worse" to "much better". These data are in accordance with Jung et al 21 . However, these authors assessed the thermography, while in our study, we have assessed the quality of life.…”

“…who used the proposed extended sympathectomy technique, there is another aspect that should be taken into account: duration of the operation 21 .…”

Analysis of palmar hyperhidrosis using thermal image-based heat of evaporation

“…The existence of the experimental factors for creating sweat and the reliability of the results were con rmed through the palmar hyperhidrosis condition questionnaire (PHCQ) completed immediately after both experiments (Nor and Ab groups) (Table S4). The PHCQ was developed by our research, in addition to the hyperhidrosis scale, health-related quality of life of hyperhidrosis, dermatology life quality index, and hyperhidrosis evaluation questionnaire, which are used in clinical research for hyperhidrosis 2,10,20,21 .…”

“…When comparing the body temperature of both sides, a temperature difference of 0.3 °C or more re ects an abnormality, and the more distinct the difference, the greater is the likelihood of disease [6][7][8][9] . In some cases, the effectiveness of the treatment was con rmed by comparing before and after results 6, [10][11][12] . In other words, when evaluating the severity of hyperhidrosis, there is insu cient objectivity.…”

“…In other words, when evaluating the severity of hyperhidrosis, there is insu cient objectivity. Moreover, as there are various treatment methods for hyperhidrosis, such as sympathetic surgery and drug treatment, it is necessary to objectively assess the severity of symptoms to properly customize the treatment plan 10,[13][14][15] .…”