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Ming-Chien Kao, MD, DMSc; Yi-Long Chen, MD; Jue-Yi Lin, MD; Chung-Szu Hsieh, MD; Jui-Chang Tsai, MD, PhD

Arch Surg. 1996;131(10):1091-1094.

Abstract
Objective
To present endoscopic T-2 sympathectomy as a minimally invasive therapy for craniofacial hyperhidrosis (CH).

Design
Follow-up study of 30 patients with CH treated by the new method in a 4-year period. The duration of follow-up was from 8 to 44 months (mean, 15 months).

Setting
University hospital.

Patients
Thirty consecutive patients with CH (18 men, 12 women) treated by the new method. All patients were essentially in good health except that they suffered from distressing CH to the extent that their daily activities were often disturbed. Their ages ranged from 7 to 63 years (mean age, 42.8 years).

Intervention
Endoscopic sympathectomy on both sides was carried out in a 1-stage operation for all patients.

Main Outcome Measures
The patients were interviewed 1 week and then 3 months after surgery and then followed up by telephone interview about the alleviation or recurrence of CH and complications.

Results
All of the treated patients obtained a satisfactory alleviation of CH. One case was complicated by a mild and transient ptosis of the left eye. No recurrence of CH was noticed during the follow-up period.

Conclusions
This therapeutic procedure is minimally invasive and effective. It causes minimal discomfort and was associated with no major complications in this series. The patients require only an overnight hospital stay and the operation scars are small. Endoscopic sympathectomy has proven to be an effective method in treating patients with distressing CH.

Arch Surg. 1996;131:1091-1094

Author Affiliations
From the Department of Surgery, Division of Neurosurgery, National Taiwan University Hospital, Taipei.

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