National Center of Excellence for Hyperhidrosis Treatment
Quality of Life Measures after Sympathectomy for Facial Blushing and Hyperhidrosis
By: Hratch Karamanoukian, MD and Raffy Karamanoukian, MD
July 27, 2008
Quality of Life Measures after Sympathectomy (micro ETS) for Facial Blushing and Hyperhidrosis
Dr. Jeganathan and colleagues at the Department of Thoracic Surgery,
The aim of this study was to evaluate the efficacy of bilateral thoracoscopic sympathectomy in alleviating symptoms and improving quality of life in patients with hyperhidrosis or facial blushing.
As well, the researchers sought to determine the occurrence, severity and possible underlying factors to compensatory sweating after surgery.
One hundred and sixty-three patients in a single institution were investigated who underwent bilateral thoracoscopic sympathectomy with a mean follow-up period of 51 months.
Success rates were palmar 98.5%, axillary 96.4%, palmar and axillary 97.7% and facial blushing +/- facial hyperhidrosis 84%.
The researchers found that compensatory sweating occurred in 77% of patients and its severity was related to the severity of the primary complaint.
The research showed that “an improvement in quality of life was seen in 85% and a diminution of quality of life was noted in 5% due to compensatory sweating”.
Dr. jeganathan concluded from this study that bilateral thoracoscopic division of the sympathetic chain as opposed to resection can be performed effectively in patients with success rates higher than 90% and low recurrence rates.
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For more information about hyperhidrosis (excessive sweating) , as well as surgical and non-surgical hyperhidrosis treatment options, contact Dr. Karamanoukian at The Center for Excessive Sweating, a National Center of Excellence for Hyperhidrosis Treatment by email or by phone at (716) 839-3638.