Resumo

OSORIO, Angélica et al. Hyperhydrosis, thoracoscopic sympathectomy and adolescents’ satisfation. Nascer e Crescer [online]. 2012, vol.21, n.3, pp.127-130. ISSN 0872-0754.

Introduction: Axillary and palmar hyperhidrosis (APH) af­fects many adolescents. Thoracoscopic sympathectomy (TS) is a reliable therapeutic option with excellent results but is associated with compensatory sweating (CS). Aims: Evaluation of adolescents’ pre and post-operative satisfaction concerning hyperhidrosis severity, surgical morbidity and CS assessment. Methods: Prospective study including four patients (3♀,1♂;average 17 years-old) who underwent T2-T4 TS for APH. APH was assessed by “Hyperhidrosis Disease Severity Scale” (HDSS-International Hyperhidrosis Society®). Results: Pre-operatively, all patients were HDSS 4, all had to change their clothes more than twice/day and all stated that APH much interfered with their self-esteem. On day one post­-op none had hyperhidrosis. One week after, three complained of CS from thorax/knees. One patient complained of facial flushing when eating. At that time, HDSS improved to 2 in one and to 1 in three patients. Six months and one year post-op, CS diminished in all patients, and HDSS was the same as one week post-op. There were no surgical complications. Conclusion: Hyperhidrosis and patients’s satisfaction improvement was prompt, marked and sustained. Despite the small sample, our results strengthen the fact that adolescents’ hyperhidrosis is a devastating condition easily managed and as­sociated with a bearable CS, hence deserving more attention in paediatrics.

Palavras-chave : Adolescents; axilary and palmar hyperhidrosis; thoracoscopic sympathectomy.

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