Skip to main content
SpringerLink
Log in

Patient Selection for Endoscopic Thoracic Sympathectomy for Facial Blushing

  • Chapter
  • First Online:
Hyperhidrosis

  • 790 Accesses

Abstract

Patients with pathological facial blushing have different clinical characteristics than patients with hyperhidrosis. It is very important to be able to select patients that will benefit from having surgery, because regret rates are high in this group. In this chapter, we try to explain our selection methodology and highlight the literature and clinical experience that support our work.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 69.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 99.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Smidfelt K, Drott C. Late results of ETS for hyperhidrosis an facial blushing. Br J Surg. 2011;98(12):1719–24.

    Article  CAS  Google Scholar 

  2. Darwin C. The expression of emotions in man and animals. London: John Murray; 1872. In: Porter DM, Graham PW, editors. The portable Darwin. New York: Penguin Books; 1993. p. 364–93.

    Google Scholar 

  3. Callejas MA, Grimalt R, Mejia S, Peri JM. Resultados del tratamiento videotoracoscópico del blushing. Actas Dermosifiliogr. 2012;103(6):525–31.

    Article  CAS  Google Scholar 

  4. Jadresic E. Is pathological blushing (PB) an illness? In: Jadresic E, editor. When blushing hurts. New York: iUniverse, Inc.; 2014. p. 19–24.

    Google Scholar 

  5. Callejas MA. Disfunción autonómica craneofacial. Rev Rinol. 2009;9:23–8.

    Google Scholar 

  6. Drott C, Claes G, Olsson-Rex L, et al. Successful treatment of facial blushing by endoscopic transthoracic sympathicotomy. Br J Dermatol. 1998;138(4):639–43.

    Article  CAS  Google Scholar 

  7. Park H-S, Hensman C, Leong J. Thoracic sympathetic nerve reconstruction for compensatory hyperhidrosis: the Melbourne technique. Ann Transl Med. 2014;2(5):45.

    PubMed  PubMed Central  Google Scholar 

  8. Fibla JJ, Molins L, Mier JM, Vidal G. Effectiveness of sympathetic block by clipping in the treatment of hyperhidrosis and facial blushing. Interact Cardiovasc Thorac Surg. 2009;9:970–2.

    Article  Google Scholar 

  9. Licht PB, Pilegaard HK, Ladegaard L. Sympathicotomy for isolated facial blushing: a randomized clinical trial. Ann Thorac Surg. 2012;94(2):401–5.

    Article  Google Scholar 

  10. Wittmoser R. Treatment of sweating and blushing by endoscopic surgery. Acta Neurochir. 1985;74:153–4.

    CAS  PubMed  Google Scholar 

  11. Telaranta T. Treatment of social phobia by ETS. Eur J Surg. 1998;580:27–32.

    Google Scholar 

  12. Jadresic E, Suarez C, et al. Evaluating the efficacy of endoscopic thoracic sympathectomy for generalized social anxiety disorder with blushing complaints: a comparison with sertraline and no treatment—Santiago de Chile 2003–2009. Innov Clin Neurosci. 2011;8(11):24–35.

    PubMed  PubMed Central  Google Scholar 

  13. Pelissolo A, Moukheiber A. Open-label treatment with escitalopram in patients with social anxiety disorder and fear of blushing. J Clin Psychopharmacol. 2013;33:695–8.

    Article  CAS  Google Scholar 

  14. Ribas Milanez de Campos J, et al. The body mass index and level of resection. Predictive factors for compensatory sweating after sympathectomy. Clin Auton Res. 2005;15:116–20.

    Article  Google Scholar 

  15. Hashmonai M, Licht PB, Schick C, Bishof G, Cameron A, Connery C, De Campos JRM, On Behalf of the International Society of Sympathetic Surgery. Late results of endoscopic thoracic sympathectomy for hyperhidrosis and facial blushing (Br J Surg 2011; 98: 1719–1724). Br J Surg. 2012;99:738. https://doi.org/10.1002/bjs.8769.

    Article  CAS  PubMed  Google Scholar 

  16. Lin CC, Telaranta T. Lin-Telaranta classification: the importance of different procedures for different indications in sympathetic surgery. Ann Chir Gynaecol. 2001;90(3):161–6.

    CAS  PubMed  Google Scholar 

Suggested Reading

  • Callejas MA, Grmalt R, Mejia S, Peri JM. Resultados del tratamiento videotoracoscópico del blushing. Actas dermosifiliogr. 2012;103(6):525–31.

    Article  CAS  Google Scholar 

  • Jadresic E, Suarez C, et al. Evaluating the efficacy of endoscopic thoracic sympathectomy for generalized social anxiety disorder with blushing complaints: a comparison with sertraline and no treatment–Santiago de Chile 2003–2009. Innov Clin Neurosci. 2011;8(11):24–35.

    PubMed  PubMed Central  Google Scholar 

  • Licht P, Pilegaard H, Ladegaard L. Sympathicotomy for isolated facial blushing: a randomized clinical trial. Ann Thorac Surg. 2012;94:401–5.

    Article  Google Scholar 

  • Ribas Milanez JR, et al. Quality of Life, before and after thoracic sympathectomy: report on 378 operated patients. Ann Thorac Surg. 2003;76:886–91.

    Article  Google Scholar 

  • Smidfelt K, Drott C. Late results of ETS for hyperhidrosis and facial blushing. Br J Surg. 2011;98(12):1719–24.

    Article  CAS  Google Scholar 

  • Smidfelt K, Drott C. Facial blushing. Patients selection and long term results. Thorac Surg Clin. 2016;26:459–63.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Thoracic Surgery Department, Clínica Santa María, Santiago, Chile

    Claudio Suárez Cruzat

  2. Thoracic Surgery Program, Universidad de Los Andes, Santiago, Chile

    Francisco Suárez Vásquez

Authors
  1. Claudio Suárez Cruzat
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Francisco Suárez Vásquez
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. General Surgery and Biotechnology, Positivo University and INC Hospital, Curitiba, Paraná, Brazil

    Marcelo de Paula Loureiro

  2. Thoracic Surgery Division, Heart Institute, Clinics Hospital, University of São Paulo School of Medicine, São Paulo, São Paulo, Brazil

    José Ribas M. de Campos

  3. Department of Vascular and Endovascular Surgery, Hospital Israelita Albert Einstein, São Paulo, São Paulo, Brazil

    Nelson Wolosker

  4. Department of Vascular and Endovascular Surgery, University of São Paulo School of Medicine, São Paulo, São Paulo, Brazil

    Paulo Kauffman

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Cruzat, C.S., Vásquez, F.S. (2018). Patient Selection for Endoscopic Thoracic Sympathectomy for Facial Blushing. In: Loureiro, M., Campos, J., Wolosker, N., Kauffman, P. (eds) Hyperhidrosis. Springer, Cham. https://doi.org/10.1007/978-3-319-89527-7_30

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-89527-7_30

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-89526-0

  • Online ISBN: 978-3-319-89527-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation