Hiperhidrozis tedavisi

Year 2014, Volume: 24 Issue: 2, 79 - 84, 01.01.2014

Burhan Apilioğulları Özlem Bilgiç

Abstract

Hiperhidrozis, patolojik kabul edilebilecek kadar ciddi, lokalize veya genel, aşırı terleme ile karakterize bir durumdur. Bu durum ha- yatın sosyal ve mesleki kalitesi üzerinde olumsuz etki eden önemli bir stres kaynağı olabilir. Eller, koltuk altı, ayaklar ve yüzü etkileyen primer hiperhidrozisin tedavisi hakkında tartışmalar mevcuttur. Cerrahi olmayan tedavi, topikal ilaçlar, iyontoforez ve sistemik anti- kolinerjikleri içerir. Son zamanlarda, intradermal botulinum toksini kullanımı popülarite kazanmıştır. Günümüzde, torasik sempatik cerrahi uygulaması primer hiperhidrozisli hastalar için altın standarttır

Keywords

Hiperhidrozis, Botulinum toksini, torasik sempatik cerrahi, sempatektomi

Treatment of hyperhydrosis

Abstract

Hyperhidrosis is characterized by localized or general excessive sweating which is severe enough to be perceived as pathological. This condition can cause significant distress that may lead to a negative impact on social and professional quality of life. Significant controversies surround the optimal treatment of primary hyperhidrosis of the hands, axillae, feet, and face. Non-surgical treatment involves topical medication, iontophoresis and systemic anti-cholinergics. More recently the use of intradermal botulinum toxin has gained popularity. Novadays, thoracic sympathetic surgery is the gold surgical treatment inpatient with primer hyperhydrosis

Keywords

Hyperhydrosis, Botulinum toksin, thoracic sympathetic surgery, sympathectomy

References

• Önder M, Aksoy G. Hiperhidroz. Türkderm 2011;45:2-9.
• Miller JL, Hurley HJ. Diseases of the eccrine and apocrine sweat glands. Dermatology. Ed. Bolognia JL, Jorizzo JL, Rapini RP. Se- cond edition. Spain, Mosby Elsevier, 2008;531-48.
• Callejas MA, Grimalt R, Cladellas E. Hyperhidrosis update. Actas Dermosifiliogr 2010;101:110-8.
• Cheung JS, Solomon BA. Disorders of sweat glands. Hyperhidro- sis: Unapproved treatments. Clin Dermatol 2002;20:638-42.
• Connolly M, de Berker D. Management of primary hyperhidrosis: a summary of the different treatment modalities. Am J Clin Der- matol 2003;4:681-97.
• Hornberger J,Grimes K, Naumann M, et al. Multi-specialty wor- king group on the recognition, diagnosis, and treatment of pri- mary focal hyperhidrosis. J Am Acad Dermatol 2004;51:274–86.
• Hoorens I, Ongenae K. Primary focal hyperhidrosis: current tre- atment options and a step-by-step approach. JEADV 2012;26:1–8.
• Schlereth T, Dieterich M, Birklein F. Hyperhidrosis-causes and treatment of enhanced sweating. Dtsch Arztebl Int 2009;106: 32–7.
• Purtuloglu T, Atim A, Deniz S, et al. Effect of radiofrequency ab- lation and comparison with surgical sympathectomy in palmar hyperhidrosis. Eur J Cardiothorac Surg 2013 Feb 21. doi: 10.1093/ ejcts/ezt024
• Garcia Franco CE, Perez-Cajaraville J, Guillen-Grima F, España A. Prospective study of percutaneousradiofrequencysympathicolysis in severe hyperhidrosis and facial blushing: Efficacy and safety fin- dings. Eur J Cardiothorac Surg 2011;40:e146-51.
• Macía I, Moya J, Ramos R, et al. Primary hyperhidrosis. Current status of surgical treatment. Cir Esp 2010;88:146-51.
• Cerfolio RJ, De Campos JR, Bryant AS, et al. The society of thora- cic surgeons expert consensusfor the surgical treatment of hyper- hidrosis. Ann Thorac Surg 2011;91:1642-8.
• de Campos JR, Kauffman P, WerebeEde C, et al. Quality of life, before and after thoracic sympathectomy: report on 378 operated patients. Ann Thorac Surg 2003;76:886-91.
• Lai CL, Chen WJ, Liu YB, Lee YT. Bradycardia and permanent pa- cing after bilateral thoracoscopic T2-sympathectomy for primary hyperhidrosis. Pacing Clin Electrophysiol 2001;24:524–5.
• Görür F, Yıldızhan A, Türüt H, et al. Analysis of 530 sympathe- ctomy operations performed for palmar hyperhidrosis and long- term results. Turkish J Thorac Cardiovasc Surg 2009;17:28-32.
• Rodríguez PM, Freixinet JL, Hussein M, et al. Side effects, compli- cations and outcome of thoracoscopic sympathectomy for palmar and axillary hyperhidrosis in 406 patients. Eur J Cardiothorac Surg 2008;34:514-9.
• Deng B, Tan QY, Jiang YG, et al. Optimization of sympathectomy to treat palmar hyperhidrosis: the systematic review and meta-a- nalysis of studies published during the past decade. Surg Endosc 2011;25:1893-901.
• Yücel O, Gürkök S. Hiperhidrozisde Cerrahi Tedavi. In: Göğüs Cerrahisi Ders Notları: Journal of Clinical and Analytical Medi- cine; 2012. p. 70-7. http://www.jcam.com.tr/files/KATD-505.pdf
• Imhof M, Zacherl J, Plas EG, Herbst F, Jakesz R, Függer R. Long- term results of 45 thoracoscopic sympathicotomies for primary hyperhidrosis in children. J Pediatr Surg 1999;34:1839-42.
• Neumayer C, Zacherl J, Holak G, et al. Limited endoscopic tho- racic sympathetic block for hyperhidrosis of the upper limb: re- duction of compensatory sweating by clipping T4. Surg Endosc 2004;18:152-6.
• Chou SH, Kao EL, Li HP, Lin CC, Huang MF. T4 sympathectomy for palmar hyperhidrosis: an effective approach that simultaneo- usly minimzes compensatory hyperhidrosis. Kaohsiung J Med Sci 2005;21:310-3.
• Hughes J. Endoscopic sympathectomy. Proc R Soc Med 1942;35:585–6.
• Harris RJ, Benveniste G, Pfitzner J. Cardiovascular collapse caused by carbon dioxide insufflation during one-lung anaesthesia. Ana- esth Intensive Care 2002;30:86-9.
• Apiliogullari B, Esme H, Yoldas B, Duran M, Duzgun N, Calik M. Early and midterm results of single-port video-assisted thoracos- copic sympathectomy. Thorac Cardiovasc Surg 2012;60:285-9.
• Miller DL, Force SD. Temporary thoracoscopic sympathetic block for hyperhidrosis. Ann Thorac Surg 2008;85:1211-4.
• Lyra Rde M, Campos JR, Kang DW, et al. Guidelines for the pre- vention, diagnosis and treatment of compensatory hyperhidrosis. J Bras Pneumol 2008;34:967–77.
• Liu Y, Yang J, Liu J, et al. Surgical treatment of primary palmar hyperhidrosis: A prospective randomized study comparing T3 and T4 sympathicotomy. Eur J Cardiothorac Surg 2009;35:398–402.
• Yang J, Tan JJ, Ye GL, Gu WQ, Wang J, Liu YG. T3/T4 thoracic sy- mpathicotomy and compensatory sweating in treatment of palmar hyperhidrosis. Chin Med J 2007;120:1574–7.
• Munia MA, Wolosker N, Kauffman P, de Campos JR, Puech-Leão P. A randomized trial of T3-T4 versus T4 sympathectomy for iso- lated axillary hyperhidrosis. J Vasc Surg 2007;45:130–3.
• Lai CL, Chen WJ, Liu YB Lee YT. Bradycardia and permanent pa- cing after bilateral thoracoscopic T2-sympathectomy for primary hyperhidrosis. Pacing Clin Electrophysiol 2001;24:524–5.
• Gedik Ş, Ekinci Köktekir B, Bakbak B, Güzel H, Sunam G. TJO 2012;42:72-4.
• Rajesh YS, Pratap CP, Woodyer AB. Thoracoscopic sympathec- tomy for palmar hyperhidrosis and Raynaud’s phenomenon of the upper limb and excessive facial blushing: a five year experience. Postgrad Med J 2002;78:682-4.
• Yücel O, Sapmaz E, Güler A, et al. The effects of bilateral thora- cic sympathectomy on cardiovascular system (An experimental study). Turk Klin J Med Sci 2009;29:632-6.
• Rex LO, Drott C, Claes G, Göthberg G, Dalman P. The Boras expe- rience of endoscopic thoracic sympathicotomy for palmar, axillary, facial hyperhidrosis and facial blushing. Eur J Surg 1998;580:23–6.
• Gossot D, Galetta D, Pascal A, et al. Long-term results of endos- copic thoracic sympathectomy for upper limb hyperhidrosis. Ann Thorac Surg 2003;75:1075–9.
• Yazbek G, Wolosker N, de Campos JR, Kauffman P, Ishy A, Pue- ch-Leão P. Palmar hyperhidrosis-which is the best level of dener- vation using video-assisted thoracoscopic sympathectomy? T2 or T3 ganglion? J Vasc Surg 2005;42:281–5.