Jung Hee Suk, Lee Doo Yun, Park Joon Suk
Department of Thoracic and Cardiovascular Surgery, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
Yonsei Med J. 2018 Mar;59(2):345-348. doi: 10.3349/ymj.2018.59.2.345.
Recurrent hyperhidrosis after thoracic sympathectomy is an uncomfortable condition, and compensatory hyperhidrosis (CH) is one of the most troublesome side effects. Here, we describe two patients with recurrent palmar hyperhidrosis (PH) and CH over the whole body simultaneously. They were treated with bilateral T4 sympathetic clipping and reconstruction of the sympathetic nerve from a T5 to T8 sympathetic nerve graft, which was transferred to the resected T3 sympathetic bed site. They reported improvements in sweating and were fully satisfied with the results. Our method can be considered as an alternative approach for patients with recurrent PH and CH.
胸交感神经切除术后复发性多汗症是一种令人不适的病症，而代偿性多汗症（CH）是最麻烦的副作用之一。在此，我们描述了两名同时患有复发性手掌多汗症（PH）和全身性CH的患者。他们接受了双侧T4交感神经夹闭术，并采用从T5至T8交感神经移植物重建交感神经，将其转移至切除的T3交感神经床部位。他们报告出汗情况有所改善，并对结果完全满意。我们的方法可被视为复发性PH和CH患者的一种替代治疗方法。
