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Related Experiment Videos

Gustatory side effects after thoracoscopic sympathectomy.

Peter B Licht1, Hans K Pilegaard

  • 1Department of Cardiothoracic Surgery, Skejby Sygehus, Aarhus University Hospital, Aarhus, Denmark. licht@dadlnet.dk

The Annals of Thoracic Surgery
|February 21, 2006
PubMed
Summary

Gustatory sweating, a facial sweating side effect after thoracoscopic sympathectomy, occurred in 32% of patients. Its incidence is linked to the extent of the sympathectomy procedure for primary hyperhidrosis.

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Area of Science:

  • Thoracic surgery
  • Neurology
  • Dermatology

Background:

  • Compensatory sweating is a common complication of thoracoscopic sympathectomy for primary hyperhidrosis.
  • Gustatory sweating, characterized by facial sweating during food consumption, is a less frequent but recognized side effect with an unclear pathophysiologic basis.
  • This study investigates gustatory sweating following thoracoscopic sympathectomy for primary hyperhidrosis.

Purpose of the Study:

  • To investigate the occurrence of gustatory sweating in patients who underwent thoracoscopic sympathectomy.
  • To analyze the relationship between gustatory sweating and the extent of sympathectomy performed for primary hyperhidrosis.

Main Methods:

  • A total of 238 patients undergoing thoracoscopic sympathectomy for primary hyperhidrosis or blushing between 1997 and 2005 were included.

Related Experiment Videos

  • Sympathectomy was performed at different levels: T2 for facial symptoms (n=97), T2-T3 for palmar symptoms (n=76), and T2-T4 for axillary symptoms (n=65).
  • Patients completed a follow-up questionnaire regarding side effects.
  • Main Results:

    • A 96% response rate was achieved, with a median follow-up of 17 months.
    • Gustatory sweating was reported by 32% of all patients.
    • The incidence of gustatory sweating showed a significant association with the extent of sympathectomy (p=0.04), and potentially with the primary hyperhidrosis location.

    Conclusions:

    • Gustatory sweating is a frequent adverse event after thoracoscopic sympathectomy.
    • This study is the first to demonstrate a significant correlation between gustatory sweating incidence and the extent or location of sympathectomy for primary hyperhidrosis.
    • These findings necessitate careful consideration and thorough patient counseling prior to planning thoracoscopic sympathectomy.