Patterns of palmar skin temperature alterations during transthoracic endoscopic T2 sympathectomy for palmar hyperhidrosis

Lu, Kang; Liang, Cheng‐Loong; Cho, Chung-Lung; Cheng, Chun-Wen; Yen, Han-Lin; Rau, Cheng-Shyuan; Tsai, Yu-Duan; Chen, Han‐Jung; Lee, Tao-Chen

doi:10.1016/s1566-0702(00)00202-2

Cited by 12 publications

(5 citation statements)

References 20 publications

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“…Values represent mean and 95 % confidence intervals sudomotor and vasoconstrictor innervation of the hands has not been described. Our data suggest that the vasoconstrictor supply to the hands is provided via the T2 ganglion, which would also fit to the crucial role of T2 in sudomotor supply to the hands [16].…”

Section: Discussionsupporting

confidence: 63%

Effects of gender and level of surgical sympathetic block on vasoconstrictor function

Fronek

Schmelz

Krüger

et al. 2003

Clinical Autonomic Research

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Interruption of sympathetic outflow by surgical sympathetic block has been used to treat hyperhidrosis for decades. In this study the effect of gender and the level of sympathetic block (T2 vs. T3) on the rewarming kinetics following ice water immersion were assessed in a prospective study on 60 hyperhidrosis patients before, 2 days, and 3 months postoperatively. Rewarming kinetics following endoscopic sympathetic block (ESB) was massively enhanced 2 days post-operatively, but had returned to pre-operative conditions at the 3 month follow-up for ESB at level T3. ESB at level T2 provoked significantly faster rewarming as compared to T3 at the 2 day and 3 month follow-up. Independent of the level of ESB, there was a slower rewarming in women already pre-operatively. This gender difference was clearly reduced at the 2 day follow-up, but had increased again at the 3 month follow-up. There was no correlation between the rewarming kinetics of the fingertips and palmar sweating. We conclude that for the sympathetic vasoconstriction of the fingertips the sympathetic ganglion T2 is crucial. Gender differences have to be taken into account when assessing effect of ESB by cold induced vasoconstriction. It remains to be established whether the quantification of vasoconstriction has some predictive value for the long-term prognosis of sudomotor blockade.

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Section: Discussionsupporting

confidence: 63%

Effects of gender and level of surgical sympathetic block on vasoconstrictor function

Fronek

Schmelz

Krüger

et al. 2003

Clinical Autonomic Research

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“…11) In our study, the temperature of nine palms did not rise or decrease after T4 sympathicotomy, accounting for 11.7%. Could 0°C be the threshold to predict efficacy?…”

Section: Discussionmentioning

confidence: 38%

Sympathicotomy for Palmar Hyperhidrosis: The Association between Intraoperative Palm Temperature Change and the Curative Effect

Liu

Zheng

et al. 2015

ATCS

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Purpose: To investigate the association between intraoperative palm temperature change and the curative effect of sympathicotomy. Methods: 49 patients with palmar hyperhidrosis were treated with bilateral endoscopic sympathicotomy. Ipsilateral palm temperature was monitored before and at 3-5 min increments after the sympathetic trunk was transected. The maximum temperature elevation (Tmax) was calculated and used to evaluate the effect on postoperative cure rates. Results: Forty-nine patients underwent 98 sympathicotomies. There were 77 T4 sympathicotomies, 15 T4 + T5 sympathicotomies, and six T3 sympathicotomies due to pleural adhesions or neurovascular proximity. The Tmax was ≤1°C in 49 (50.0%), 1-1.5°C in 17 (17.3%), and >1.5°C in 32 (32.7%) palms. Ninety-two palms of 46 patients were followed with complete efficacy, and three patients were lost to follow up. Cure was achieved in 86 palms (93.4%). Of the 71 palms which underwent T4 sympathicotomy, cure was achieved in 67 palms (94.3%). In those palms which did not achieve cure, the Tmax was less than 1°C in each case, while in palms with a Tmax ≤1°C, 32 of 36 (88.9%) were cured. Conclusion: There is an association between intraoperative palmar temperature change and curative effect. However, palmar temperature change cannot be used to predict cure or guide surgical approach.

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“…Perguntou-se a opinião deles sobre o tratamento: 3 (30%) responderam não achar o tratamento eficaz, pois o alívio era pequeno Foi encontrado neste grupo de 12 estudantes uma prevalência do sexo feminino (3 homens e 9 mulheres), com uma média de 21 anos de idade, apesar do grupo ser pré-estabelecido como de universitários, não diferiu muito dos dados apresentados por Noppen et al com 8 mulheres e 5 homens, e média de idade de 28 anos [20]. Esta faixa etária também é próxima da encontrada por Lin (25,1 anos) [17] [18], e Lin com 17 do sexo masculino e 25 do feminino, mostraram maior equilíbrio [17]. Isto demonstra não haver uma pré-disposição com relação a sexo, mas uma prevalência de indivíduos jovens.…”

Section: Resultsunclassified

Uso das correntes diadinâmicas de Bernard (DF e CP) no tratamento da hiperidrose - Avaliação de 10 casos

Bertolini

2019

Fisioter Bras

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Patterns of palmar skin temperature alterations during transthoracic endoscopic T2 sympathectomy for palmar hyperhidrosis

Cited by 12 publications

References 20 publications

Effects of gender and level of surgical sympathetic block on vasoconstrictor function

Effects of gender and level of surgical sympathetic block on vasoconstrictor function

Sympathicotomy for Palmar Hyperhidrosis: The Association between Intraoperative Palm Temperature Change and the Curative Effect

Uso das correntes diadinâmicas de Bernard (DF e CP) no tratamento da hiperidrose - Avaliação de 10 casos

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