Thoracic Sympathectomy for Facial Hyperhidrosis

안면다한증에서의 흉부교감신경 절제술

  • Kim, Hae-Gyun (Dept.of Thoracic and Cardiovascular Surgery, Respiratory Center, Yonsei University College of Medicine) ;
  • Lee, Du-Yeon (Dept.of Thoracic and Cardiovascular Surgery, Respiratory Center, Yonsei University College of Medicine) ;
  • Baek, Hyo-Chae (Dept.of Thoracic and Cardiovascular Surgery, Respiratory Center, Yonsei University College of Medicine) ;
  • Jo, Hyeon-Min (Dept.of Thoracic and Cardiovascular Surgery, Respiratory Center, Yonsei University College of Medicine)
  • 김해균 (연세대학교 의과대학 영동세브란스병원 흉부외과) ;
  • 이두연 (연세대학교 의과대학 영동세브란스병원 흉부외과) ;
  • 백효채 (연세대학교 의과대학 영동세브란스병원 흉부외과) ;
  • 조현민 (연세대학교 의과대학 영동세브란스병원 흉부외과)
  • Published : 1996.10.01

Abstract

Excessive sweating of the face has a strong negative impact on the quality of life for many persons. We have experienced 10 patients with facial hyperhidrosis among the 150 essential hyperhidrosis patients They were 9 male and 1 fatale patients and their age range was 20 to 47 years(mean age 33.8 years). All patients, except one, received bilateral thoracic sympathectomy via VATS. One patient was done via minithoracotomy due to severe pleural adhesion. During the followup period, there was no recurence of facial sweating. Hone of the patients showed Horne 's syndrome.

안면다한증은 많은 사람들에게 삶의 질적인 측면에서 심한 부정적인 영향을 끼친다 저자들은 다한증 환자 150명중에서 10명의 안면다한증 환자를 치험하였다. 그중 남자가 9명이었고, 여자가 1명이었으며 연령분포는 20세 에서부터 47세까지, 평균연령은 33.8세이 있다. 한명을 제외한 모든 환자에서 비디오흉강경수술을 받았으며 나머지 한명만 심한늑막유착으로 인해 개흉술을 받았다. 추적조사기간동안 안면발한의 재발, 호너증후군의 예는 한명도 없었다.

Keywords

References

  1. 대흉외지 v.26 no.2 비디오 흉강경을 이용한 흉부수술 김해균;이두연;윤용한;배기만
  2. 대한 신경과학회지 v.22 no.1 Endoscopic thoracic sympathectomy for hyperhidrosis 김영수;윤도흠;이두연;김해균
  3. 대흉외지 v.28 no.7 비디오 흉강경을 이용한 다한증의 교감신경 절제술 성숙환;임청;김주현
  4. J Invest Dermatol v.43 Antiperspirant action of topieally applied anticholinergics MacMillan,K.;Reller,H.;Synder,H.
  5. Arch Dermatol v.123 Emotional eccrine sweating;A heritable disorder James,D.;Schoomaker,B.;Rodman,G.
  6. Am J Surg v.150 Upper dorsal sympathectomy Manart,F.D.;Sadir,T.R.;Schmitt,E.A.;Rainer,W.G.
  7. Proc R Soc Med. v.64 Surgical treatment of severe hyperhidrosis Ellis,H.;Morgan,M.N.
  8. Surg Rounds Primary hyperhidrosis and its surgical treatment Watkins,R.;Ellis,H.
  9. J Neurosurg v.30 Hyperhidrosis Cloward,B.
  10. Fortschr R Ntgenstr v.153 Palmar hyperhidrosis CT guided chemical percutaneous thoracic sympathectomy Alder,O.B.;Engel,A.;Rosenberger,A.;Dondelinger,R.
  11. Neurosurgery v.15 Percutaneous radiofrequency upper thoracic sympathectomy : new technique Wilkinsson,H.A.
  12. Neurosurgery v.22 New stereotactic technique for percutanaous thermocoagulation of upper thoracic ganglionectomy in cases of palmar hyperhidrosis Chuang,K.S.;Liou,N.H.;Liu,J.C.
  13. Dis Chest v.20 The endoscopic approach to the vegetative nervous system and its therapeutic possibilities Kux,E.
  14. Atlas of thoracoscopic surgery Mark,J.K.;Michael,J.M.
  15. Contemp neurosurg v.10 no.7 Management of essential hyperhidrosis Bay,J.W.
  16. Jour. Am Coll Surg v.179 Videoassisted thoracoscopic T2 sympathectomy for hyperhydrosis palmaris Hsu,C.P.;Chen,C.Y.;Lin,C.T.(et al.)
  17. Ann Surg v.186 Palmar hyperhidrosis and its surgical treatment Adar,R.;Kurchin,A.;Zweig,A.;Mozes,M.
  18. J Neurosurg v.30 Hyperhidrosis Cloward,R.B.
  19. Surg Neurol v.263 Thoracic sympathectomy for palmar hyperhidrosis Shih,C.J.;Wang,Y.C.
  20. Ann Thorac Surg v.56 Thoracoscopy for autonomic disorders Goran,C.;Chriser,D.;Gunnar,G.