The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
권호 표지

Dorsal Percutaneous Thoracic Sympathetic Ganglion Block with Alcohol for the Treatment of Palmar Hyperhidrosis

수부 다한증 환자에서 알코올을 사용한 흉부 교감신경 파괴술의 결과 보고

  • Yang, Jong Yeun (Department of Anesthesiology and Pain Medicine, School of Medicine, Ajou University) ;
  • Kim, Chan (Department of Anesthesiology and Pain Medicine, School of Medicine, Ajou University) ;
  • Han, Kyung Ream (Department of Anesthesiology and Pain Medicine, School of Medicine, Ajou University) ;
  • Cho, Hye Won (Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University) ;
  • Kim, Eun Jin (Department of Anesthesiology and Pain Medicine, School of Medicine, Ajou University)
  • 양종윤 (아주대학교 의과대학 마취통증의학교실) ;
  • 김찬 (아주대학교 의과대학 마취통증의학교실) ;
  • 한경림 (아주대학교 의과대학 마취통증의학교실) ;
  • 조혜원 (한림대학교 의과대학 마취통증의학교실) ;
  • 김은진 (아주대학교 의과대학 마취통증의학교실)
  • Received : 2005.08.18
  • Accepted : 2005.12.09
  • Published : 2005.12.10
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Abstract

Background: Hyperhidrosis is the troublesome disorder of excessive perspiration, which affects as much as 0.15-1% of the population. There are many methods for treating hyperhidrosis. In this report, we present our experience of dorsal percutaneous thoracic sympathetic ganglion block (TSGB) using 99.9% ethyl alcohol for treating palmar hyperhidrosis. Methods: Between March 1992 and July 2003, a total of 856 patients underwent TSGB for the treatment of palmar hyperhidrosis of which 625 were followed up for 2 years. There were 297 and 328 male and female patients, respectively, with a mean age of $23.9{\pm}7.7years$. TSGB was performed under fluoroscopic guidance using 99.9% ethyl alcohol at the T2 and T3 sympathetic ganglia. Results: In the 625 patients, the recurrence rates within the 1st and 2nd years were 29 and 8%, respectively. Compensatory sweating occurred in 42.1% of patients, which was severe in 7.5%. Of the 625 patients 21.0 and 36.9% were either very satisfied or relatively satisfied with the outcome, respectively. Conclusions: Our report confirms that TSGB may be a good alternative to endoscopic thoracic sympathectomy in the treatment of palmar hyperhidrosis.

Keywords

References

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