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Chemical lumbar sympathetic block in the treatment of plantar hyperhidrosis: a study of 69 patients

Authors
 WON OAK KIM  ;  KYUNG BONG YOON  ;  HAE KEUM KIL  ;  DUCK ME YOON 
Citation
 DERMATOLOGIC SURGERY, Vol.34(10) : 1340-1345, 2008 
Journal Title
 DERMATOLOGIC SURGERY 
ISSN
 1076-0512 
Issue Date
2008
MeSH
Adult ; Ethanol/administration & dosage ; Female ; Foot ; Humans ; Hyperhidrosis/therapy* ; Lumbosacral Region ; Male ; Retrospective Studies ; Sympathectomy, Chemical* ; Sympatholytics/administration & dosage ; Treatment Outcome ; Young Adult
Keywords
Adult ; Ethanol/administration & dosage ; Female ; Foot ; Humans ; Hyperhidrosis/therapy* ; Lumbosacral Region ; Male ; Retrospective Studies ; Sympathectomy, Chemical* ; Sympatholytics/administration & dosage ; Treatment Outcome ; Young Adult
Abstract
BACKGROUND: Plantar hyperhidrosis is a distressing problem that can affect a patient's quality of life. Although various conservative modalities have been suggested, severe plantar hyperhidrosis is often not sufficiently treated. OBJECTIVE: The aim of this study was to evaluate the safety and the effectiveness of a chemical lumbar sympathetic block (CLSB) with alcohol in patients with severe plantar hyperhidrosis. METHOD: Sixty-nine patients were treated by a neurolytic lumbar block. A single-needle or two-needle technique was used with patients in the prone position. RESULTS: Of 138 procedures, the number of successful blocks was 68 (49.3%) for L3 to L4 and 28 (20.3%) for L4 to L5. The degree of anhydrosis was excellent in 6 patients (8.7%), good in 32 patients (46.4%), fair in 32 patients (34.8%), and poor in 7 patients (10.1%). Of 69 patients, 56 (81.1%) were partially or fully satisfied. Noted complications included temporary sexual dysfunction in 1 patient, compensatory hyperhidrosis in 1 patient, and transient genitofemoral neuritis in 3 patients. Although 62 patients (89.9%) recurred at 6 to 18 months, 3 patients (4.3%) remained stable until 18 to 24 months. CONCLUSION: The careful use of CLSB on an outpatient basis can be a safe, minimally invasive, and effective treatment for severe plantar hyperhidrosis.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00042728-200810000-00006&LSLINK=80&D=ovft
DOI
10.1111/j.1524-4725.2008.34286.x
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kil, Hae Keum(길혜금)
Kim, Won Oak(김원옥)
Yoon, Kyoung Bong(윤경봉) ORCID logo https://orcid.org/0000-0002-4167-1375
Yoon, Duck Mi(윤덕미)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/106929
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