Thoracoscopic T2-T3 sympathicolysis for essential hyperhidrosis in childhood: Effects on pulmonary function

Thoracoscopic T2‐T3 sympathicolysis (TS) is a minimally invasive treatment for patients suffering from severe, refractory essential hyperhidrosis (EH). TS has previously been shown to be safe and efficacious in children. In order to examine the effects of TS on respiratory function, pulmonary functi...

Full description

Saved in:
Bibliographic Details
Published in:Pediatric pulmonology 1998-10, Vol.26 (4), p.262-264
Main Authors: Noppen, Marc, Dab, I., D'Haese, J., Meysman, M., Vincken, W.
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Child
children
Dermatology
Endoscopy - methods
Female
Ganglionectomy - methods
Humans
hyperhidrosis
Hyperhidrosis - surgery
Lung - innervation
Lung - physiology
Male
Medical sciences
pulmonary function
Respiratory Function Tests
Skin involvement in other diseases. Miscellaneous. General aspects
sympathectomy
Thoracoscopy
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Thoracoscopic T2‐T3 sympathicolysis (TS) is a minimally invasive treatment for patients suffering from severe, refractory essential hyperhidrosis (EH). TS has previously been shown to be safe and efficacious in children. In order to examine the effects of TS on respiratory function, pulmonary function tests (PFT) were performed prior to and 6 weeks and 6 months after TS in 12 children with EH (3 boys; mean age 12.8 ± 2.5 years). Small asymptomatic decreases in forced expiratory volume in one second (FEV1; −2%), forced expiratory flow after expiration of 75% of vital capacity (FEF75; −9.6%), total lung capacity (TLC; −1%), transfer factor for diffusion of carbon monoxide (TLCO; −7.6%), and transfer coefficient for diffusion of carbon monoxide (KCO; −1.5%) were observed 6 weeks after TS. These changes are comparable to those observed in adults but did not reach statistical significance in small children. In line with observations in adults, TLC (and TL,CO) returned to baseline values 6 months after TS, whereas FEV1, FEF75, and KCO remained at their 6‐week level. In conclusion, TS causes only small, statistically insignificant, and asymptomatic decreases in pulmonary function in children. TS can, therefore, be considered a safe treatment option in children suffering from severe, refractory EH. Pediatr Pulmonol. 1998; 26:262–264. © 1998 Wiley‐Liss, Inc.
ISSN:8755-6863
1099-0496
DOI:10.1002/(SICI)1099-0496(199810)26:4<262::AID-PPUL5>3.0.CO;2-M