Video-Assisted Thoracoscopic Sympathectomy for Facial Hyperhidrosis: The Influence of the Main Site of Complaint

Fukuda, Juliana Maria; Varella, Andrea Yasbek Monteiro; Teivelis, Marcelo Passos; Campos, José Ribas Milanez de; Kauffman, Paulo; Pinheiro, Lucas Lembrança; Wolosker, Nelson

doi:10.1016/j.avsg.2017.06.142

Cited by 9 publications

(9 citation statements)

References 25 publications

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“…The prevalence of hyperhidrosis decreases as age increases, 19,25 and this relationship might be the result of good treatment at a younger age, including surgery, adaptation to excessive daily sweating, or amelioration due to an unknown physiological reason. In the epidemiology of hyperhidrosis, age has been extensively studied (eg, symptom topography vs age of symptoms onset), [26][27][28] and the reason why fewer older individuals seek treatment has also been explored. For all patients seeking medical (ie, noninvasive) treatment for hyperhidrosis, a very popular initial choice is the oral use of oxybutynin.…”

Section: Discussionmentioning

confidence: 99%

The relation between age and outcomes of thoracic sympathectomy for hyperhidrosis: The older the better

Leiderman

Campos

Kauffman

et al. 2018

The Journal of Thoracic and Cardiovascular Surgery

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Section: Discussionmentioning

confidence: 99%

The relation between age and outcomes of thoracic sympathectomy for hyperhidrosis: The older the better

Leiderman

Campos

Kauffman

et al. 2018

The Journal of Thoracic and Cardiovascular Surgery

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“…Our study has demonstrated a significant improvement in the general QOL of patients postoperatively, which is in keeping with most of the literature that supports the effectiveness of ETS in improving the general QOL of patients with PHH. 12,13,14,22,28,29,30,31,32,33 By summing up the total QOL score from all domains, we noticed 44 (95.7%) patients had Pearson's correlation. Assumptions were fulfilled.…”

Section: Discussionmentioning

confidence: 85%

“…10 It is deemed the worst side effect of ETS, which impacts on daily activities. 11,12,13 However, only a few studies have assessed CS and if its intensity affects the QOL of patients, but the results were inconsistent. Dias et al 14 proposed that CS potentially worsens postoperative QOL.…”

Section: Introductionmentioning

confidence: 99%

Does endoscopic thoracic sympathectomy improve the quality of life of patients with primary hyperhidrosis? A single center retrospective review

et al. 2021

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Background: Endoscopic thoracic sympathectomy (ETS) is renowned as an effective surgical treatment for primary hyperhidrosis (PHH) and believed to improve patients’ quality of life (QOL). This study aimed to evaluate the quality of life (QOL) of patients with PHH after ETS compared to before ETS, and to determine whether compensatory sweating (CS) affects QOL of patients. Methods: This is a single-centre retrospective review of patients who had undergone ETS at the National Heart Center [Institut Jantung Negara (IJN)], Malaysia. In total, 62 patients from January 2014 to December 2018 were recruited. Medical records were first reviewed for all relevant data, prior to making telephone interview to administer the questionnaire. A modified questionnaire with validated components was used to assess the patients’ QOL. Patient satisfaction, symptom resolution, recurrence and occurrence of CS were also asked during the interview. Data were analysed using IBM SPSS Statistics 25.0. Results: A total of 46 patients (response rate: 74.2%) completed the questionnaire, with 95.7% reporting improvement in the total QOL score (Mean difference = 113.54, SD=70.79, 95% CI = 95.52 – 134.57, p<0.001). There was remarkable symptom resolution for palmar HH as 97.8% reported dry hands, whereas majority of patients with palmar-plantar HH reported persistent sweating from feet HH. CS rate was 89.1%. In terms of severity of CS, 6 (14.6%) reported mild, 17 (41.5%) moderate, and 18 (43.9%) had severe CS. The severity of CS as well as the number of locations have a significant effect on the QOL reported (p=0.022 and p=0.008, respectively). Conclusion: ETS is an effective treatment for PHH in improving the QOL of patients, even long term. The occurrence of CS did not affect the QOL, but severity of CS and number of locations involved in CS affect the QOL of patients.

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“…In the conclusions, patients with facial main complaint, despite the greater improvement, experienced lower improvement in QOL compared to patients with other sites. Compensatory hyperhidrosis was the most frequent side effect in both groups, affecting greater number of the patients (40).…”

Section: Craniofacial Hyperhidrosis or Facial Rubormentioning

confidence: 88%

Upper extremity sympathectomy

Campos¹,

Kauffman²,

Faustino³

et al. 2018

J. Vis. Surg.

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Hyperhidrosis is a condition in which there is excessive production of sweat that is disproportional to thermoregulation needs and that profoundly hampers the quality of life (QOL) of the population that is affected by it. The disorder is typically limited to the palms, the plantar and craniofacial regions, armpits, and manifests itself in a symmetrical fashion in addition to being associated to family history. At present, sympathectomy is considered the golden standard treatment and there are a number of approaches a surgeon may elect to adopt in its care. The clinical treatment with oxybutynin also improves screening of the group of patients that will benefit the most with this indication. However, the efficacy of the surgical method, what most counts for a successful outcome is the occurrence or not of compensatory hyperhidrosis whose intensity may impact the results. All patients are and must be thoroughly informed of this possibility prior to surgery. For the others indications, is also one of the final approaches necessary for a fruitful treatment.

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Video-Assisted Thoracoscopic Sympathectomy for Facial Hyperhidrosis: The Influence of the Main Site of Complaint

Cited by 9 publications

References 25 publications

The relation between age and outcomes of thoracic sympathectomy for hyperhidrosis: The older the better

The relation between age and outcomes of thoracic sympathectomy for hyperhidrosis: The older the better

Does endoscopic thoracic sympathectomy improve the quality of life of patients with primary hyperhidrosis? A single center retrospective review

Upper extremity sympathectomy

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