Süleyman DENİZ, KUTHAN KAVAKLI, Hasan ÇAYLAK, Tarık PURTULOĞLU, Ersin SAPMAZ, GÖKHAN İNANGİL, Abdülkadir ATIM, SEDAT GÜRKÖK, Ercan KURT

Treatment of compensatory hyperhidrosis of the trunk with radiofrequency ablation

Amaç: Endoskopik torasik sempatektomi palmar hiperhidrozu olan hastalar için yaygın kabul gören bir tedavi yöntemi olmasına rağmen, gövde kompansatuvar hiperhidrozu bu prosedürün çözümsüz bir yan etkisi olarak görülebilmektedir. Bu problem için tatmin edici bir tedavi yöntemi bugüne kadar tanımlanmamıştır. Bu çalışmada, gövde kompansatuvar hiperhidrozu tedavisinde yeni mini- mal invaziv bir tedavi yöntemi tanımlamasının yapılması amaçlanmıştır. Gereç ve Yöntem: Palmar hiperhidroz nedeniyle endoskopik torasik sempatektomi uygulanan ve gövde kompansatuvar hiperhidrozu gelişen 10 hastaya (2 kadın, 8 erkek) ileriye yönelik olarak Kasım 2010 ve Ocak 2012 tarihleri arasında sempatik radyofrekans termokoagülasyon tekniği ile T6 seviyesinden ablasyon uygulandı. Tedavinin sonuçları telefon görüşmeleri ile değerlendirildi. Bulgular: Yaş ortalaması 29.2 yıl idi ve semptom ortalama süresi 10.5 ay idi. Ortalama takip süresi 14 ay idi. Altı hasta (%60) başarılı bir şekilde tedavi edildi. Tanımlanan yönteme bağlı yeni bir komplikasyon görülmedi. Sonuç: Gövde kompansatuvar hiperhidroz hastalarında T6 seviyesinden uygulanan radyofrekans ablasyon tedavisi ile ümit verici bu

Radyofrekans ablasyon ile gövde kompansatuvar hiperhidrozun tedavisi

Objectives: Although Endoscopic Toracic Sympathectomy is a widely accepted treatment method for patients with palmar hyperhidrosis, compensatory hyperhidrosis of the trunk remains a challenging side efect of the procedure. No satisfactory treatment options for this side efect were available until now. In this study, we aimed to defne a new procedure for the treat- ment of compensatory hyperhidrosis of the trunk. Methods: A total of 10 patients admitted our institution for the treatment of compensatory hyperhidrosis of the trunk were enrolled in the study between November 2010 and January 2012 in a prospective manner. Sympathetic blockage was achieved via radiofrequency thermo-ablation technique. Te results of treatment were evaluated via telephone calls. Results: Ten patients (2 females, 8 males) underwent radiofrequency thermo-ablation of T6 sympathetic ganglion for com- pensatory hyperhidrosis of the trunk. Te mean age was 29.2 years and the median duration of symptom was 10.5 months. Te median follow-up period was 14 months. Six of ten patients (60%) were treated successfully. Tere was no procedure related complication. Conclusion: Te radiofrequency treatment for patients with compensatory hyperhidrosis of the trunk is an alternative option with promising results.

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