J Korean Neurosurg Soc.  2004 Jul;36(1):34-36.

Limited T2 Sympathicotomy for Craniofacial Hyperhidrosis

• Lee SM
• Kim SW

Abstract

OBJECTIVE
Craniofacial hyperhidrosis patients have as much difficulty in personal relationships as palmar and axillary hyperhidrosis patients. Thoracoscopic sympathectomy for facial hyperhidrosis has been known to resect T1 ganglion, however, its inherent complications such as Horner's syndrome make surgeons hesitant to this method. We report the T2 sympathicotomy to treat craniofacial hyperhidrosis. METHODS: From June 2000 to July 2001, eight consecutive craniofacial hyperhidrosis patients underwent bilateral limited T2 sympathicotomy with 2mm-diameter endoscopes. Based on the follow-up from five to 23 months, the evaluation was made on the surgical outcomes, postoperative complications and patient satisfaction.
RESULTS
All patients were relieved of excessive sweating in their faces and scalps. Complications related to the surgical procedures, such as Horner's syndrome and compensatory gustatory hyperhidrosis were not detected in any case.
CONCLUSION
Limited T2 sympathicotomy has proven to be as effective as T1 sympathectomy and to be less complicated in treating patients with distressing craniofacial hyperhidrosis.

Keyword

Craniofacial hyperhidrosis; Limited T2 sympathicotomy

MeSH Terms

Endoscopes
Follow-Up Studies
Ganglion Cysts
Horner Syndrome
Humans
Hyperhidrosis*
Patient Satisfaction
Postoperative Complications
Scalp
Sweat
Sweating
Sweating, Gustatory
Sympathectomy