Excessive sweating. In the localized type, the most frequent sites are the palms, soles, axillae, inguinal folds, and the perineal area. Its chief cause is thought to be emotional. Generalized hyperhidrosis may be induced by a hot, humid environment, by fever, or by vigorous exercise.
The removal or interruption of some part of the sympathetic nervous system for therapeutic or research purposes.
Endoscopic examination, therapy or surgery of the pleural cavity.
The process of exocrine secretion of the SWEAT GLANDS, including the aqueous sweat from the ECCRINE GLANDS and the complex viscous fluids of the APOCRINE GLANDS.
Endoscopic surgery of the pleural cavity performed with visualization via video transmission.
The twelve spinal nerves on each side of the thorax. They include eleven INTERCOSTAL NERVES and one subcostal nerve. Both sensory and motor, they supply the muscles and skin of the thoracic and abdominal walls.
Analogs or derivatives of mandelic acid (alpha-hydroxybenzeneacetic acid).
Involuntary reddening, especially of the face, associated with feelings of embarrassment, confusion or shame.
Removal of an autonomic or sensory ganglion by any means.
Sweat-producing structures that are embedded in the DERMIS. Each gland consists of a single tube, a coiled body, and a superficial duct.
The distal part of the arm beyond the wrist in humans and primates, that includes the palm, fingers, and thumb.
Area of the human body underneath the SHOULDER JOINT, also known as the armpit or underarm.
A serotype of botulinum toxins that has specificity for cleavage of SYNAPTOSOMAL-ASSOCIATED PROTEIN 25.
The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.
Endoscopes for examining the pleural cavity.
The ventral rami of the thoracic nerves from segments T1 through T11. The intercostal nerves supply motor and sensory innervation to the thorax and abdomen. The skin and muscles supplied by a given pair are called, respectively, a dermatome and a myotome.
Agents that remove, correct, repress, or mask undesirable ODORS. In personal hygiene, deodorants often contain astringent preparations that reduce SWEATING, referred to as ANTIPERSPIRANTS. (From Grant & Hackh's Chemical Dictionary, 5th ed)
A narcotic analgesic structurally related to METHADONE. Only the dextro-isomer has an analgesic effect; the levo-isomer appears to exert an antitussive effect.
An autonomic disorder characterized by excessive sweating of the forehead, upper lip, perioral region, or sternum subsequent to gustatory stimuli. The auriculotemporal syndrome features facial flushing or sweating limited to the distribution of the auriculotemporal nerve and may develop after trauma to the parotid gland, in association with PAROTID NEOPLASMS, or following their surgical removal. (From Ann Neurol 1997 Dec;42(6):973-5)
Hand dermatoses is a general term referring to various inflammatory skin conditions primarily affecting the hands, such as eczema, psoriasis, and contact dermatitis, characterized by erythema, scaling, vesiculation, fissuring, or lichenification.
Therapeutic introduction of ions of soluble salts into tissues by means of electric current. In medical literature it is commonly used to indicate the process of increasing the penetration of drugs into surface tissues by the application of electric current. It has nothing to do with ION EXCHANGE; AIR IONIZATION nor PHONOPHORESIS, none of which requires current.
The forcing into the skin of liquid medication, nutrient, or other fluid through a hollow needle, piercing the top skin layer.
A muscarinic antagonist used as an antispasmodic, in some disorders of the gastrointestinal tract, and to reduce salivation with some anesthetics.
Simple sweat glands that secrete sweat directly onto the SKIN.
Drugs used for their actions on skeletal muscle. Included are agents that act directly on skeletal muscle, those that alter neuromuscular transmission (NEUROMUSCULAR BLOCKING AGENTS), and drugs that act centrally as skeletal muscle relaxants (MUSCLE RELAXANTS, CENTRAL). Drugs used in the treatment of movement disorders are ANTI-DYSKINESIA AGENTS.
ANESTHESIA achieved by lowering either BODY TEMPERATURE (core cooling) or SKIN TEMPERATURE (external cooling).

The results of thoracoscopic sympathetic trunk transection for palmar hyperhidrosis and sympathetic ganglionectomy for axillary hyperhidrosis. (1/177)

OBJECTIVES: To review our total experience of thoracoscopic sympathetic trunk transection for the treatment of palmar hyperhidrosis and second and third thoracic sympathetic ganglionectomy for axillary hyperhidrosis. DESIGN: Longitudinal cohort study following up consecutive patients for 0.3 to 5.5 years. SUBJECTS: Fifty-four consecutive patients undergoing thoracoscopic sympathectomy for hyperhidrosis. METHODS: Prospective evaluation of immediate technical success, complications, late recurrence of hyperhidrosis and patient acceptability. RESULTS: 100% initial cure for palmar hyperhidrosis, 91% of sympathetic ganglionectomies for axillary hyperhidrosis were technically successful and initially curative. Compensatory sweating 44% patients, most severe after bilateral sympathetic ganglionectomy. Complications occurred in 14% patients, all resolving without further intervention. There were no cases of Horner's syndrome. 13% patients reported a return of some palmar sweating. 5.4% patients developed recurrent palmar hyperhidrosis at 6, 15 and 21 months postoperatively. CONCLUSION: Transection of the sympathetic trunk between the first and second thoracic sympathetic ganglia initially cures 100% of patients treated primarily for palmar hyperhidrosis. Technically successful 2nd and 3rd thoracic sympathetic ganglionectomy initially cures 100% of patients with axillary hyperhidrosis. Compensatory sweating is common after bilateral sympathectomy. Recurrent palmar hyperhidrosis occurs in 5.4% of cases, but can be cured by a second thoracoscopic sympathectomy. Horner's syndrome is an avoidable complication of thoracoscopic sympathectomy.  (+info)

Focal (segmental) dyshidrosis in syringomyelia. (2/177)

The features or mechanisms of dyshidrosis have not been sufficiently clarified. Neither has the difference between hyperhidrosis and hypohidrosis. To clarify the features and mechanisms of dyshidrosis (hyperhidrosis and hypohidrosis) in syringomyelia, the clinical features focusing on hidrosis of 30 patients with syringomyelia and Chiari malformation located from a syringomyelia database were prospectively analysed. The patients were classified into three groups: eight patients (26.7%) had segmental hypohidrosis, 10 (33. 3%) had segmental hyperhidrosis, and 12 (40.0%) had normohidrosis. We found that the Karnofsky functional status for the hyperhydrosis and normohidrosis groups were significantly higher than for the hypohidrosis group (p=0.0012), with no significant differences between the hyperhidrosis and normohidrosis groups. The duration from the onset of syringomyelia to the current dyshidrosis was significantly longer in the hypohidrosis group than in the hyperhidrosis group (p=0.0027). A significant correlation was identified between the duration from the onset of syringomyelia to the time at study and the performance score (r=-0.599, p=0.0003). The results substantiate previous hypotheses that in its early stage syringomyelia causes segmental hyperactivity of the sympathetic preganglionic neurons, and hyperactivity of these gradually subsides as tissue damage progresses. Focal hyperhidrosis may be regarded as a hallmark of a relatively intact spinal cord, as well as normohidrosis.  (+info)

A case of traumatic high thoracic myelopathy presenting dissociated impairment of rostral sympathetic innervations and isolated segmental sweating on otherwise anhidrotic trunk. (3/177)

A 3 year-old boy developed flaccid paraplegia, anesthesia below T3 and impaired vesical control immediately after a car accident. Three months later, the pupils and their pharmacological reactions were normal. Thermal sweating was markedly reduced on the right side of the face, neck, and shoulder and on the bilateral upper limbs, and was absent below T3 except for band like faint sweating on T7 sensory dermatome. The left side of the face, neck and shoulder showed compensatory hyperhidrosis. Facial skin temperature was higher on the sweating left side. Cervico-thoracic MRI suggested almost complete transection of the cord at the levels of T2 and T3 segments. We discussed the pathophysiology of the dissociated impairment of rostral sympathetic innervations and isolated segmental sweating on otherwise anhidrotic trunk.  (+info)

Thoracoscopic sympathetic surgery for hyperhidrosis. (4/177)

Resectional surgery of sympathetic nerves has been known to be the most effective treatment for essential hyperhidrosis and the application of thoracoscopic electrocauterization has provided a minimally-invasive procedure with the least morbidity and a resultant higher satisfaction rate. This paper describes our experience on the 1,167 cases of thoracoscopic sympathetic surgery for the treatment of essential hyperhidrosis. A total of 1,167 patients (674 males (58%) and 493 females (42%), mean age of 26.4 years with palmar (930), craniofacial (190) or axillary (47) hyperhidrosis underwent thoracoscopic sympathetic surgery from July 1992 to March 1999. Since the T2-4 sympathectomy, first performed in July 1992 for a patient of palmar hyperhidrosis, the operative methods have been altered to achieve a higher satisfaction level with the least complication by adopting less invasive procedures. Our current standard procedures being performed are T3 and T2 clipping for palmar and craniofacial hyperhidrosis and T3,4 sympathicotomy for axillary hyperhidrosis, all using a 2 mm needle thoracoscope. As the surgical procedures have been transited to a less invasive method with limited resection using the newest endoscopic devices, the average operation time and complications such as Horner's syndrome and compensatory hyperhidrosis have gradually decreased and thus the long-term satisfaction rate has been raised up to 98% for palmar hyperhidrosis, 92% for craniofacial hyperhidrosis and 89% for axillary hyperhidrosis. The recurrent cases (14/1167) were treated successfully with reoperations of thoracoscopic sympathetic surgery. The optimal goal of therapy could be achieved by complete elimination of the hyperhidrotic symptom, by decreasing the incidence and degree of compensatory hyperhidrosis through a selective and limited resection, and by adopting the least invasive procedures. Sympathicotomy has provided the advantages of a limited extent of denervation and the resultant decrease of compensatory hyperhidrosis compared to sympathectomy. The reversible method of clipping may be an effective, provisionary means for cases of severe, intractable compensatory sweating. For craniofacial hyperhidrosis, T2 sympathicotomy or clipping has been proven to be superior to the T1 sympathectomy due to the decreased occurrence of Horner's syndrome and T3,4 sympathicotomy providing a satisfactory outcome with less compensatory hyperhidrosis for axillary hyperhidrosis.  (+info)

Sympathectomy potentiates the vasoconstrictor response to nitric oxide synthase inhibition in humans. (5/177)

OBJECTIVE: Nitric oxide exerts its cardiovascular actions at least in part by modulation of the sympathetic vasoconstrictor tone. There is increasing evidence that nitric oxide inhibits central neural sympathetic outflow, and preliminary evidence suggests that it may also modulate peripheral sympathetic vasoconstrictor tone. METHODS: To test this latter concept, in six subjects having undergone thoracic sympathectomy for hyperhydrosis, we compared the vascular responses to systemic L-NMMA infusion (1 mg/kg/min over 10 min) in the innervated and the denervated limb. We also studied vascular responses to the infusion of the non-nitric-oxide-dependent vasoconstrictor phenylephrine. RESULTS: L-NMMA infusion evoked a roughly 3-fold larger increase in vascular resistance in the denervated forearm than in the innervated calf. In the denervated forearm, vascular resistance increased by 58 +/- 10 percent (mean +/- SE), whereas in the innervated calf it increased only by 21 +/- 6 percent (P < 0.01, forearm vs. calf). This augmented vasoconstrictor response was specific for L-NMMA, and not related to augmented non-specific vasoconstrictor responsiveness secondary to sympathectomy, because phenylephrine infusion increased vascular resistance similarly in the denervated forearm and the innervated calf (by 24 +/- 7, and 29 +/- 8 percent, respectively). The augmented vasoconstrictor response was related specifically to denervation, because in control subjects, the vasoconstrictor responses to L-NMMA were comparable in the forearm and the calf. CONCLUSIONS: These findings indicate that in the absence of sympathetic innervation, the vasoconstrictor responses to nitric oxide synthase inhibition are augmented.  (+info)

Sympathetic denervation of the upper limb improves forearm exercise performance and skeletal muscle bioenergetics. (6/177)

BACKGROUND: Sympathetic activation may limit exercise performance by restraining muscle blood flow or by negatively affecting skeletal muscle metabolic behavior. To test this hypothesis, we studied the effect of thoracoscopic sympathetic trunkotomy (TST) on forearm exercise duration, blood flow, and muscle bioenergetics in 13 patients with idiopathic palmar hyperhidrosis. METHODS AND RESULTS: Heart rate and beat-by-beat mean arterial pressure were recorded at rest and during right and left rhythmic handgrip before and 4 to 7 weeks after right TST. Forearm blood flow was measured bilaterally at rest and on the right during exercise. Right forearm muscle phosphocreatine content and intracellular pH were assessed by (31)phosphorus magnetic resonance spectroscopy. After right TST, exercise duration increased from 8.9+/-1.4 to 13.4+/-1.8 minutes (P<0.0001) with the right forearm and from 5.7+/-0.4 to 7.6+/-0.9 minutes (P<0.05) with the left (P<0.05 for the interaction between treatment and side). Right forearm blood flow at rest was 66% higher (P<0.01) after right TST, but this difference decreased as the exercise progressed. After right TST, a significant reduction occurred in muscle acidification and phosphocreatine depletion during ipsilateral forearm exercise. This was associated with a significantly reduced mean arterial pressure response to right handgrip, whereas the pressor response to left handgrip did not change. CONCLUSIONS: Sympathetic denervation of the upper limb significantly improves forearm skeletal muscle bioenergetics and exercise performance in patients with idiopathic palmar hyperhidrosis.  (+info)

Effect of thoracic sympathectomy on arm and leg exercise capacity and on lung function. (7/177)

BACKGROUND: Thoracic T(2-4) sympathectomy (TS) relieves palmar hyperhidrosis. These same roots innervate the heart and the lung. Thoracoscopic TS minimizes damage to the chest wall so that the effect of sympathectomy itself on these organs can be studied. We attempted to determine whether attenuated sympathetic output affects arm or leg exercise tolerance and lung function in young adults who underwent this operation. METHODS: Seven subjects, aged 17-30 years, had lung function tests (water spirometer, Godart, Holland), and leg and arm maximal exercise (CPX, MedGraphics, USA), before and 3-6 months after TS. RESULTS: After TS, resting and exercise heart rate and blood pressure were reduced. Baseline leg and arm peak O(2) uptake, 2.08 (0.6) and 1.44 (0.5) liters/min, respectively, were not different from the post-TS values, 2.06 (0.7) and 1.54 (0.5) liters/min (nonsignificant). Post-TS lung functions were not significantly reduced. CONCLUSION: Thoracoscopic T(2-4) sympathectomy does not lead to a clinically important fall in lung function and does not compromise arm or leg exercise capacity. Therefore, TS can be done safely in young subjects with palmar hyperhidrosis.  (+info)

Botulinum toxin A for axillary hyperhidrosis (excessive sweating). (8/177)

BACKGROUND: Treatment of primary focal hyperhidrosis is often unsatisfactory. Botulinum toxin A can stop excessive sweating by blocking the release of acetylcholine, which mediates sympathetic neurotransmission in the sweat glands. METHODS: We conducted a multicenter trial of botulinum toxin A in 145 patients with axillary hyperhidrosis. The patients had rates of sweat production greater than 50 mg per minute and had had primary axillary hyperhidrosis that was unresponsive to topical therapy with aluminum chloride for more than one year. In each patient, botulinum toxin A (200 U) was injected into one axilla, and placebo was injected into the other in a randomized, double-blind manner. (The units of the botulinum toxin A preparation used in this study are not identical to those of other preparations.) Two weeks later, after the treatments were revealed, the axilla that had received placebo was injected with 100 U of botulinum toxin A. Changes in the rates of sweat production were measured by gravimetry. RESULTS: At base line, the mean (+/-SD) rate of sweat production was 192+/-136 mg per minute. Two weeks after the first injections the mean rate of sweat production in the axilla that received botulinum toxin A was 24+/-27 mg per minute, as compared with 144+/-113 mg per minute in the axilla that received placebo (P< 0.001). Injection of 100 U into the axilla that had been treated with placebo reduced the mean rate of sweat production in that axilla to 32+/-39 mg per minute (P<0.001). Twenty-four weeks after the injection of 100 U, the rates of sweat production (in the 136 patients in whom the rates were measured at that time) were still lower than base-line values, at 67+/-66 mg per minute in the axilla that received 200 U and 65+/-64 mg per minute in the axilla that received placebo and 100 U of the toxin. Treatment was well tolerated; 98 percent of the patients said they would recommend this therapy to others. CONCLUSIONS: Intradermal injection of botulinum toxin A is an effective and safe therapy for severe axillary hyperhidrosis.  (+info)

Hyperhidrosis is a medical condition characterized by excessive sweating beyond the normal requirement for thermoregulation. It can affect various parts of the body, but it primarily occurs in the palms, soles, underarms, and face. The sweating can be so profuse that it can interfere with daily activities and cause significant distress or embarrassment. Hyperhidrosis can be primary (idiopathic), meaning there is no underlying medical condition causing it, or secondary, due to a known cause such as anxiety, certain medications, infections, or medical conditions like diabetes or hyperthyroidism.

Sympathectomy is a surgical procedure that involves interrupting the sympathetic nerve pathways. These nerves are part of the autonomic nervous system, which controls involuntary bodily functions such as heart rate, blood pressure, sweating, and digestion. The goal of sympathectomy is to manage conditions like hyperhidrosis (excessive sweating), Raynaud's phenomenon, and certain types of chronic pain.

There are different types of sympathectomy, including thoracic sympathectomy (which targets the sympathetic nerves in the chest), lumbar sympathectomy (which targets the sympathetic nerves in the lower back), and cervical sympathectomy (which targets the sympathetic nerves in the neck). The specific type of procedure depends on the location of the affected nerves and the condition being treated.

Sympathectomy is usually performed using minimally invasive techniques, such as endoscopic surgery, which involves making small incisions and using specialized instruments to access the nerves. While sympathectomy can be effective in managing certain conditions, it carries risks such as nerve damage, bleeding, infection, and chronic pain.

Thoracoscopy is a surgical procedure in which a thoracoscope, a type of endoscope, is inserted through a small incision between the ribs to examine the lungs and pleural space (the space surrounding the lungs). It allows the surgeon to directly view the chest cavity, take biopsies, and perform various operations. This procedure is often used in the diagnosis and treatment of pleural effusions, lung cancer, and other chest conditions.

Sweating, also known as perspiration, is the production of sweat by the sweat glands in the skin in response to heat, physical exertion, hormonal changes, or emotional stress. Sweat is a fluid composed mainly of water, with small amounts of sodium chloride, lactate, and urea. It helps regulate body temperature by releasing heat through evaporation on the surface of the skin. Excessive sweating, known as hyperhidrosis, can be a medical condition that may require treatment.

Thoracic surgery, video-assisted (VATS) is a minimally invasive surgical technique used to diagnose and treat various conditions related to the chest cavity, including the lungs, pleura, mediastinum, esophagus, and diaphragm. In VATS, a thoracoscope, a type of endoscope with a camera and light source, is inserted through small incisions in the chest wall to provide visualization of the internal structures. The surgeon then uses specialized instruments to perform the necessary surgical procedures, such as biopsies, lung resections, or esophageal repairs. Compared to traditional open thoracic surgery, VATS typically results in less postoperative pain, shorter hospital stays, and quicker recoveries for patients.

Thoracic nerves are the 12 paired nerves that originate from the thoracic segment (T1-T12) of the spinal cord. These nerves provide motor and sensory innervation to the trunk and abdomen, specifically to the muscles of the chest wall, the skin over the back and chest, and some parts of the abdomen. They also contribute to the formation of the sympathetic trunk, which is a part of the autonomic nervous system that regulates unconscious bodily functions such as heart rate and digestion. Each thoracic nerve emerges from the intervertebral foramen, a small opening between each vertebra, and splits into anterior and posterior branches to innervate the corresponding dermatomes and myotomes.

I'm sorry for any confusion, but "Mandelic Acids" is not a recognized medical term or concept in dermatology or medicine. Mandelic acid, however, is a type of chemical compound used in skincare products for various purposes such as exfoliation and reducing hyperpigmentation. It is an aromatic hydroxyacetic acid derived from mandelic almonds. If you have any questions about skincare ingredients or treatments, I'd be happy to help clarify those for you!

Blushing is a reddening of the face, neck, or upper chest caused by increased blood flow to the surface of the skin. It is a physiological response that is often associated with feelings of embarrassment, shame, or excitement. Blushing is an involuntary response and cannot be consciously controlled. It is regulated by the autonomic nervous system, which controls other automatic functions such as heart rate and digestion.

Blushing can also occur as a result of certain medical conditions, such as rosacea, a skin condition that causes redness and visible blood vessels in the face. In some cases, blushing may be a side effect of medication or alcohol consumption. While blushing is generally harmless, excessive blushing or blushing that occurs without an apparent trigger may be a sign of a social anxiety disorder or other underlying mental health condition.

Ganglionectomy is a surgical procedure that involves the removal of a ganglion, which is a small, benign cyst-like structure that typically forms on or near a joint capsule or tendon sheath. These ganglia are filled with a jelly-like substance known as synovial fluid, and they can cause pain, discomfort, or limitation of movement when they press on nearby nerves.

Ganglionectomy is usually performed under local or general anesthesia, depending on the location and size of the ganglion. The surgeon makes an incision over the affected area, carefully dissects the tissue surrounding the ganglion, and removes it completely. The incision is then closed with sutures or staples, and a dressing is applied to protect the wound during healing.

This procedure is generally recommended for patients who have persistent symptoms that do not respond to non-surgical treatments such as aspiration (draining the fluid from the ganglion) or immobilization with a splint or brace. Ganglionectomy has a high success rate, with most patients experiencing relief of their symptoms and a low risk of recurrence. However, as with any surgical procedure, there are potential risks and complications, including infection, nerve damage, and scarring.

Sweat glands are specialized tubular structures in the skin that produce and secrete sweat, also known as perspiration. They are part of the body's thermoregulatory system, helping to maintain optimal body temperature by releasing water and heat through evaporation. There are two main types of sweat glands: eccrine and apocrine.

1. Eccrine sweat glands: These are distributed throughout the body, with a higher concentration on areas like the palms, soles, and forehead. They are responsible for producing a watery, odorless sweat that primarily helps to cool down the body through evaporation.

2. Apocrine sweat glands: These are mainly found in the axillary (armpit) region and around the anogenital area. They become active during puberty and produce a thick, milky fluid that does not have a strong odor on its own but can mix with bacteria on the skin's surface, leading to body odor.

Sweat glands are controlled by the autonomic nervous system, meaning they function involuntarily in response to various stimuli such as emotions, physical activity, or changes in environmental temperature.

In medical terms, a hand is the part of the human body that is attached to the forearm and consists of the carpus (wrist), metacarpus, and phalanges. It is made up of 27 bones, along with muscles, tendons, ligaments, and other soft tissues. The hand is a highly specialized organ that is capable of performing a wide range of complex movements and functions, including grasping, holding, manipulating objects, and communicating through gestures. It is also richly innervated with sensory receptors that provide information about touch, temperature, pain, and proprioception (the sense of the position and movement of body parts).

The term "axilla" is used in anatomical context to refer to the armpit region, specifically the space located lateral to the upper part of the chest wall and medial to the upper arm. This area contains a number of important structures such as blood vessels, nerves, and lymph nodes, which play a critical role in the health and functioning of the upper limb. Understanding the anatomy of the axilla is essential for medical professionals performing various procedures, including surgeries and injections, in this region.

Botulinum toxins type A are neurotoxins produced by the bacterium Clostridium botulinum and related species. These toxins act by blocking the release of acetylcholine at the neuromuscular junction, leading to muscle paralysis. Botulinum toxin type A is used in medical treatments for various conditions characterized by muscle spasticity or excessive muscle activity, such as cervical dystonia, blepharospasm, strabismus, and chronic migraine. It is also used cosmetically to reduce the appearance of wrinkles by temporarily paralyzing the muscles that cause them. The commercial forms of botulinum toxin type A include Botox, Dysport, and Xeomin.

Patient satisfaction is a concept in healthcare quality measurement that reflects the patient's perspective and evaluates their experience with the healthcare services they have received. It is a multidimensional construct that includes various aspects such as interpersonal mannerisms of healthcare providers, technical competence, accessibility, timeliness, comfort, and communication.

Patient satisfaction is typically measured through standardized surveys or questionnaires that ask patients to rate their experiences on various aspects of care. The results are often used to assess the quality of care provided by healthcare organizations, identify areas for improvement, and inform policy decisions. However, it's important to note that patient satisfaction is just one aspect of healthcare quality and should be considered alongside other measures such as clinical outcomes and patient safety.

A thoracoscope is not a medical condition, but a medical device used in the field of thoracic surgery. It is a type of endoscope that allows surgeons to view the inside of the chest cavity (thorax) through small incisions. The thoracoscope has a light source and a camera at its tip, which transmits images to a video monitor. This enables the surgeon to inspect the lungs, pleura, mediastinum, and diaphragm, take biopsies, and perform various surgical procedures, such as pleurodesis or lung resection, minimizing invasiveness and promoting faster recovery compared to traditional open thoracotomy.

Intercostal nerves are the bundles of nerve fibers that originate from the thoracic spinal cord (T1 to T11) and provide sensory and motor innervation to the thorax, abdomen, and walls of the chest. They run between the ribs (intercostal spaces), hence the name intercostal nerves.

Each intercostal nerve has two components:

1. The lateral cutaneous branch: This branch provides sensory innervation to the skin on the side of the chest wall and abdomen.
2. The anterior cutaneous branch: This branch provides sensory innervation to the skin on the front of the chest and abdomen.

Additionally, each intercostal nerve also gives off a muscular branch that supplies motor innervation to the intercostal muscles (the muscles between the ribs) and the upper abdominal wall muscles. The lowest intercostal nerve (T11) also provides sensory innervation to a small area of skin over the buttock.

Intercostal nerves are important in clinical practice, as they can be affected by various conditions such as herpes zoster (shingles), rib fractures, or thoracic outlet syndrome, leading to pain and sensory changes in the chest wall.

Deodorants are substances that are applied to the body, usually under the arms, to help prevent or mask body odor caused by the bacterial breakdown of sweat. Deodorants typically contain alcohol and fragrances, which can help to kill bacteria and cover up any remaining odor. Some deodorants also contain antiperspirants, which work by blocking the sweat glands and reducing the amount of sweat that is produced. This can help to further reduce body odor.

It's important to note that while deodorants can help to mask body odor, they do not prevent sweating. If you are looking for a product that can help to control sweating, you may want to consider using an antiperspirant instead. Some products combine both deodorant and antiperspirant in one product.

Deodorants are available in several forms, including sprays, roll-ons, gels, creams, and solid sticks. It's important to choose a deodorant that is right for your skin type and personal preferences. If you have sensitive skin, you may want to look for a deodorant that is labeled as "hypoallergenic" or "unscented."

It's also a good idea to apply deodorant to clean, dry skin, as this can help the product to work more effectively. If you are using an antiperspirant deodorant, it's best to apply it at night before bed, as this can help to reduce sweating and body odor throughout the day.

Dextropropoxyphene is a mild narcotic analgesic (pain reliever) that is prescribed for the relief of moderate to moderately severe pain. It is a synthetic opioid and works by binding to opiate receptors in the brain, spinal cord, and other areas of the body to reduce the perception of pain. Dextropropoxyphene is available in immediate-release and extended-release tablets, usually in combination with acetaminophen (also known as paracetamol).

Dextropropoxyphene has a narrow therapeutic index, which means that there is only a small range between the effective dose and a potentially toxic dose. It also has a high potential for abuse and addiction, and its use has been associated with serious side effects such as respiratory depression, seizures, and cardiac arrhythmias. In 2010, the U.S. Food and Drug Administration (FDA) withdrew approval for all dextropropoxyphene-containing products due to these safety concerns.

Gustatory sweating, also known as Frey's syndrome, is a condition in which an individual experiences excessive sweating on the face, neck, and scalp while eating, especially spicy or strong-flavored foods. This unusual form of sweating occurs due to an abnormal cross-innervation between the sympathetic and parasympathetic nerves that supply the salivary glands and sweat glands in the skin of the face and neck.

Normally, when we eat, our body activates the parasympathetic nervous system to stimulate saliva production for digestion. In some individuals, this activation can cause an aberrant response where sympathetic nerve fibers are also activated, leading to sweating in the affected areas. This condition is often a result of damage or injury to the nerves in the face, such as after surgery (particularly facial nerve or parotid gland surgeries), trauma, or infection.

Hand dermatoses is a general term used to describe various inflammatory skin conditions that affect the hands. These conditions can cause symptoms such as redness, swelling, itching, blistering, scaling, and cracking of the skin on the hands. Common examples of hand dermatoses include:

1. Irritant contact dermatitis: A reaction that occurs when the skin comes into contact with irritants such as chemicals, soaps, or detergents.
2. Allergic contact dermatitis: A reaction that occurs when the skin comes into contact with allergens, such as nickel, rubber, or poison ivy.
3. Atopic dermatitis (eczema): A chronic skin condition characterized by dry, itchy, and inflamed skin.
4. Psoriasis: A chronic skin condition characterized by red, scaly patches that can occur anywhere on the body, including the hands.
5. Dyshidrotic eczema: A type of eczema that causes small blisters to form on the sides of the fingers, palms, and soles of the feet.
6. Lichen planus: An inflammatory skin condition that can cause purple or white patches to form on the hands and other parts of the body.
7. Scabies: A contagious skin condition caused by mites that burrow into the skin and lay eggs, causing intense itching and a rash.

Treatment for hand dermatoses depends on the specific diagnosis and may include topical creams or ointments, oral medications, phototherapy, or avoidance of triggers.

Iontophoresis is a medical technique in which a mild electrical current is used to deliver medications through the skin. This process enhances the absorption of medication into the body, allowing it to reach deeper tissues that may not be accessible through topical applications alone. Iontophoresis is often used for local treatment of conditions such as inflammation, pain, or spasms, and is particularly useful in treating conditions affecting the hands and feet, like hyperhidrosis (excessive sweating). The medications used in iontophoresis are typically anti-inflammatory drugs, anesthetics, or corticosteroids.

An "injection, intradermal" refers to a type of injection where a small quantity of a substance is introduced into the layer of skin between the epidermis and dermis, using a thin gauge needle. This technique is often used for diagnostic or research purposes, such as conducting allergy tests or administering immunizations in a way that stimulates a strong immune response. The injection site typically produces a small, raised bump (wheal) that disappears within a few hours. It's important to note that intradermal injections should be performed by trained medical professionals to minimize the risk of complications.

Glycopyrrolate is an anticholinergic medication that works by blocking the action of acetylcholine, a chemical messenger in the body. It reduces the secretions of certain organs and is used to treat various conditions such as peptic ulcers, reducing saliva production during surgical procedures, preventing motion sickness, and managing some symptoms of Parkinson's disease.

In medical terms, glycopyrrolate is a competitive antagonist of muscarinic acetylcholine receptors. It has a particular affinity for the M1, M2, and M3 receptor subtypes. By blocking these receptors, it inhibits the parasympathetic nervous system's effects on various organs, leading to decreased glandular secretions (such as saliva, sweat, and gastric acid), slowed heart rate, and relaxation of smooth muscles in the digestive tract and bronchioles.

Glycopyrrolate is available in oral, intravenous, and topical forms and should be used under the supervision of a healthcare professional due to its potential side effects, including dry mouth, blurred vision, dizziness, drowsiness, and urinary retention.

Eccrine glands are the most numerous type of sweat glands in the human body, found in virtually all skin locations. They play a crucial role in thermoregulation by producing a watery sweat that cools the body when it evaporates on the skin surface. These glands are distributed over the entire body, with a higher concentration on the soles of the feet, palms of the hands, and forehead.

Structurally, eccrine glands consist of two main parts: the coiled secretory portion located in the dermis and the straight duct that extends through the dermis and epidermis to reach the skin surface. The secretory portion is lined with a simple cuboidal epithelium, while the duct is lined with a simple squamous or low cuboidal epithelium.

Eccrine glands are stimulated to produce sweat by the activation of the sympathetic nervous system, particularly through the release of acetylcholine at the neuro-glandular junction. The sweat produced is primarily water with small amounts of electrolytes, such as sodium, chloride, and potassium. This composition helps maintain the body's electrolyte balance while facilitating heat loss during physical exertion or in hot environments.

Neuromuscular agents are drugs or substances that affect the function of the neuromuscular junction, which is the site where nerve impulses are transmitted to muscles. These agents can either enhance or inhibit the transmission of signals across the neuromuscular junction, leading to a variety of effects on muscle tone and activity.

Neuromuscular blocking agents (NMBAs) are a type of neuromuscular agent that is commonly used in anesthesia and critical care settings to induce paralysis during intubation or mechanical ventilation. NMBAs can be classified into two main categories: depolarizing and non-depolarizing agents.

Depolarizing NMBAs, such as succinylcholine, work by activating the nicotinic acetylcholine receptors at the neuromuscular junction, causing muscle contraction followed by paralysis. Non-depolarizing NMBAs, such as rocuronium and vecuronium, block the activation of these receptors, preventing muscle contraction and leading to paralysis.

Other types of neuromuscular agents include cholinesterase inhibitors, which increase the levels of acetylcholine at the neuromuscular junction and can be used to reverse the effects of NMBAs, and botulinum toxin, which is a potent neurotoxin that inhibits the release of acetylcholine from nerve terminals and is used in the treatment of various neurological disorders.

Cryoanesthesia is a medical term that refers to the use of extreme cold or freezing temperatures to induce local anesthesia, which is the numbing of a specific area of the body. This technique can be used to reduce pain and discomfort during certain medical procedures, such as cryosurgery (the use of extreme cold to destroy abnormal tissue).

During cryoanesthesia, a cryoprobe (a tool that can conduct and transmit low temperatures) is applied to the skin in the area to be treated. The probe is cooled to a very low temperature, typically between -20°C and -50°C, which causes the surrounding tissue to freeze. This freezing process damages the nerve endings in the area, temporarily blocking the transmission of pain signals to the brain.

While cryoanesthesia can be effective for reducing pain during certain procedures, it is not without risks. Prolonged exposure to extreme cold temperatures can cause tissue damage and frostbite, so it is important that the procedure is performed by a trained medical professional who can carefully monitor the temperature and duration of the treatment. Additionally, cryoanesthesia may not be appropriate for all patients or procedures, so it is important to discuss the potential risks and benefits with a healthcare provider before undergoing the treatment.

"Two Types of Hyperhidrosis - International Hyperhidrosis Society , Official Site". International Hyperhidrosis Society. ... Hyperhidrosis can also have devastating emotional effects on ones individual life. Those with hyperhidrosis may have greater ... Primary or focal hyperhidrosis may be further divided by the area affected, for instance, palmoplantar hyperhidrosis ( ... Treatment algorithms for hyperhidrosis recommend topical antiperspirants as the first line of therapy for hyperhidrosis. Both ...
People with hyperhidrosis may sweat even when the temperature is cool or when they are at rest. ... People with hyperhidrosis may sweat even when the temperature is cool or when they are at rest. ... Hyperhidrosis is a medical condition in which a person sweats excessively and unpredictably. ... Hyperhidrosis is a medical condition in which a person sweats excessively and unpredictably. ...
... J Cosmet Dermatol. 2022 Jan;21(1):62-70. doi: 10.1111/jocd.14378. Epub 2021 Aug 20. ... Background: Axillary hyperhidrosis characterized by excessive sweating in the axillary regions is a frustrating chronic ... Aim: The aim of this article is to discuss treatment options for axillary hyperhidrosis. ... impaired quality of life and usually associated with palmoplantar hyperhidrosis. Identifying the condition and its cause is ...
Although any site on the body can be affected by hyperhidrosis, the sites most commonly affected are the palms, soles, and ... Hyperhidrosis, which is sweating in excess of that required for normal thermoregulation, is a condition that usually begins in ... Hyperhidrosis is difficult to treat effectively. Hyperhidrosis is not associated with mortality. Severe cases of hyperhidrosis ... Persons of all ages can be affected by hyperhidrosis. Localized hyperhidrosis, unlike generalized hyperhidrosis, usually begins ...
Topical Botulinum Toxin A in the Treatment of Hyperhidrosis * Hyperhidrosis: A New And Often Early Symptom In Fabry Disease. ... According to the International Hyperhidrosis Society, about 1.3 million people in the US have axillary hyperhidrosis, and about ... Complications With Microwave Energy Device Treatment of Hyperhidrosis Reported * FDA Clears First Patch to Treat Axillary ... Louis and is a founding board member of the International Hyperhidrosis Society, said in the company release. ...
Learn about how dermatologists diagnose and treat hyperhidrosis. ... Treatment depends on the type of hyperhidrosis and where the ... Unlike other treatments, there is not a lot of information about this treatment for hyperhidrosis. We do not know how long the ... "Assessment of quality of life in patients with primary axillary hyperhidrosis before and after suction-curettage." J Am Acad ... Sympathectomy is another surgery used to treat hyperhidrosis. This is major surgery, which a surgeon performs in an operating ...
The Online Clinic can prescribe Oxybutynin for hyperhidrosis (excessive sweating) following a quick online consultation. This ... For hyperhidrosis, please click on the free consultation button and we will ask you a few online questions and a doctor will ... These have been an absolute life changer for my hyperhidrosis, before taking these i could walk hakf a mile to the town and on ... The Online Clinic can prescribe Oxybutynin for hyperhidrosis only. Please note the dosages are different for other conditions ...
... You may be trying to access this site from a secured browser ... Diagnosis and treatment of hyperhidrosis. Kenny, Katherine RN, ANP-BC, CCRN, DNP ...
What causes hyperhidrosis?. There are two types of hyperhidrosis.. Focal hyperhidrosis, also known as primary hyperhidrosis, ... Face (facial hyperhidrosis). Although this type of hyperhidrosis has an unknown cause, the way it affects sufferers appears to ... Generalized hyperhidrosis, also known as secondary hyperhidrosis is actually caused by another underlying condition (e.g. ... Hyperhidrosis is a disorder that defines individuals who sweat more than the body would normally need to maintain optimal ...
For sufferers of hyperhidrosis, it may seem like an embarrassing problem, but there are effective solutions out there. As with ... Hyperhidrosis can be caused by various reasons, such as stress, anxiety or any other physiological disorder. However, for ... Botox injections have proven to be an effective solution to the problem of hyperhidrosis for many sufferers. The use of Botox ... Hyperhidrosis is defined as excessive sweating. This embarrassing problem is actually extremely common, with millions of ...
International Hyperhidrosis Society is the nonprofit organization serving millions of people who suffer with excessive ... Fact Check: Hyperhidrosis Treatments. Fact Check: Hyperhidrosis Treatments Hyperhidrosis treatments are a lot more important ... Fact Check: Hyperhidrosis. Fact Check: Hyperhidrosis Its Just a Little Sweat, Youll Grow Out of It… Yeah, uh, no. You dont ... International Hyperhidrosis Society has been awarded as a Top-Rated Nonprofit since 2012! Read the reviews and add your own to ...
Shabna Shree shares a case of primary palmoplantar hyperhidrosis in a woman of 17. Chilly, offensive perspiration, aggravation ... Primary or essential hyperhidrosis affects around 0.6% to 1.0% population. Primary hyperhidrosis may be inherited and its ... KEY WORDS: Hyperhidrosis, Paediatric, Constitution. INTRODUCTION: Hyperhidrosis is defined as abnormally excessive sweating ... DIAGNOSIS: 1. Primary Palmoplantar Hyperhidrosis with a score of 4 according to Hyperhidrosis Disease Severity Score (HDSS). ...
... hyperhidrosis) treatment - A range of treatments to help this potentially embarrassing condition.. Choose Spire Leicester ... When there is no obvious cause for your sweating, it is known as primary hyperhidrosis. People with secondary hyperhidrosis ... Excessive sweating (hyperhidrosis) at Spire Leicester Hospital. A range of treatments to help this potentially embarrassing ... A new non-surgical temporary solution for excessive sweating (hyperhidrosis) involves an injection of anti-sweating medication ...
Hyperhidrosis, or over perspiration, is caused by excessive secretion of the sweat glands. This disorder affects a small but ... Hyperhidrosis, or over perspiration, is caused by excessive secretion of the sweat glands. This disorder affects a small but ... Hyperhidrosis is often an uncomfortable or even debilitating condition: patients suffer from social embarrassment at work or ... Expert hyperhidrosis treatment at Weill Cornell Medicine. Thoracic surgeons at NewYork-Presbyterian Hospital/Weill Cornell ...
How well can you assess and manage hyperhidrosis in your patients? ... Hyperhidrosis Management. Hyperhidrosis, or excessive sweating, is a common condition that affects more people than previously ... The burden of hyperhidrosis on quality of life is substantial, affecting patients work, social, and leisure activities, as ... Prevalence of multifocal hyperhidrosis and symptom severity over times: results of a targeted survey. ...
International Hyperhidrosis Society is the nonprofit organization serving millions of people who suffer with excessive ... Hyperhidrosis Research & Development Needs All of Us. Keeping up with hyperhidrosis research and treatment development takes ... Hyperhidrosis Research and Development. Wondering what hyperhidrosis-related clinical trials are going on and what potential ... Patient Characteristics and Hyperhidrosis Treatment. What do patient characteristics have to do with hyperhidrosis treatment? ...
This dynamic drives hyper-hidrosis.. The cause of hyperhidrosis is unknown. One theory is that claim it is caused by over- ... When excessive sweating is localized it is referred to as primary hyperhidrosis or focal hyperhidrosis. Excessive sweating ... Resolve Hyperhidrosis. and Social Anxiety. "My goal is to be able to wear a silk dress". This statement came from one of my ... Performance Anxiety and Hyper-hidrosis Resolved without Medication - Successful Lawyer. /mp3/kevin.mp3. College Athlete ...
In the UK it is licensed for treating axillary (underarm) hyperhidrosis and is done by a small number of NHS hospitals but is ... Although not licensed, some doctors do use it for treating hyperhidrosis of the hands, feet, parts of the body and even the ... It is now used widely to treat a wide variety of medical problems including hyperhidrosis but is probably more widely known for ... It is generally very effective for treating hyperhidrosis BUT the effects eventually wear off after about three to six months. ...
Do you know best practices in diagnosing and treating hyperhidrosis, including medications known to cause it and whether ... Comprehensive Hyperhidrosis Management: From Head to Toe 0.5 CME / ABIM MOC Credits ... Complications With Microwave Energy Device Treatment of Hyperhidrosis Reported * Phase 3 Trials Show Benefits of Dupilumab for ... Hyperhidrosis (HH), a disorder of excessive sweating, is characterized by sweating beyond what is needed for temperature ...
Do you know best practices in diagnosing and treating hyperhidrosis, including medications known to cause it and whether ... Comprehensive Hyperhidrosis Management: From Head to Toe 0.5 CME / ABIM MOC Credits ... Complications With Microwave Energy Device Treatment of Hyperhidrosis Reported * Phase 3 Trials Show Benefits of Dupilumab for ... This Fast Five Quiz was excerpted and adapted from the Medscape articles Hyperhidrosis, Propranolol, Skin Adnexectomy, ...
... and Pariser discuss management and treatment options for your patients with hyperhidrosis. ... Comprehensive Hyperhidrosis Management: From Head to Toe. *Authors: Adam J. Friedman, MD; Dee Anna Glaser, MD; David M. Pariser ... Comprehensive Hyperhidrosis Management: From Head to Toe. Authors: Adam J. Friedman, MD; Dee Anna Glaser, MD; David M. Pariser ... Hyperhidrosis: an update on prevalence and severity in the United States. Arch Dermatol Res. 2016;308:743-749. ...
The pathophysiology of hyperhidrosis is poorly understood, however, dysfunction of the sympathetic nervous system, particularly ... Hyperhidrosis is a disorder characterised by the increased production of sweat disproportionate to the amount required to ... Assessment and diagnosis of hyperhidrosis. Hyperhidrosis can be generalised or focal. Generalised hyperhidrosis affects the ... Hyperhidrosis can be either generalised or focal. Generalised hyperhidrosis may be primary and idiopathic or secondary to ...
What is the safest and most effective surgery for hyperhidrosis?. *How safe are hyperhidrosis treatments at different stages of ... How does hyperhidrosis affect quality of life?. *Are combinations of different treatments more effective than one type of ... The Hyperhidrosis Priority Setting Partnership has surveyed more than 250 patients and clinicians, including nurses, GPs and ... What is the most effective severity scale that can be used to determine if a person is eligible for hyperhidrosis treatment? ...
... BOTOX® Cosmetic is a purified protein produced by the Clostridium botulinum bacterium, and ... It can dramatically reduce Hyperhidrosis by blocking the release of substances that activate the sweat glands. ...
AKA Hyperhidrosis. Call today for your appointment and take control of your sweating. 651-209-3600 ... Crutchfield can successfully treat your underarm hyperhidrosis and restore your confidence. Hyperhidrosis and Antiperspirant ... The advantage is it works everywhere, so if the hyperhidrosis is involved on the scalp or back, it tends to work well there too ... Sometimes when the hyperhidrosis is so profound and all the other discussed mechanisms dont work, surgical intervention has ...
New York specializing in Hyperhidrosis. Click to learn more. ... While Hyperhidrosis is believed to be a condition that passes ... Home › Dermatology › Hyperhidrosis. Hyperhidrosis. Consultations offered at our six convenient locations in NYC, Long Island, ... The cost for Hyperhidrosis treatment will depend on several factors. The number of sessions will influence the final price, as ... If you regularly experience a drastic amount of sweat, you may have Hyperhidrosis. Greenberg Cosmetic Surgery offers a variety ...
Onafhankelijk Nederlands Hyperhidrosis Forum. Officiële website van de Nederlandse Hyperhidrosis Patiëntenvereniging. Doorgaan ... non-invasive treatment choice for hyperhidrosis. Brickell Biotech is developing this novel hyperhidrosis treatment for both ... This is great news for the global hyperhidrosis community.. Anticholinergics have long been used as treatments for excessive ... Brickell Biotech is developing this new hyperhidrosis treatment for underarm sweating. If FDA-approved, the gel now called BBI- ...
What is Hyperhidrosis?. Hyperhidrosis or excessive sweating, is a condition that affects millions of people around the world. ... Benefits of Hyperhidrosis Treatment for Women. Hyperhidrosis can be particularly challenging for women, who may feel self- ... Hyperhidrosis is a chronic condition that can affect people of all ages and can be triggered by various factors, such as stress ... Hyperhidrosis is a medical condition characterised by excessive sweating that can occur in various parts of the body, such as ...
... www.sweat-stop.com/en/iontophoresis-hyperhidrosis/for-back-chest-body/Electrodes-Against-Hyperhidrosis-on-the-Back-and-Chest- ... www.sweat-stop.com/en/iontophoresis-hyperhidrosis/for-back-chest-body/Electrodes-Against-Hyperhidrosis-on-the-Back-and-Chest- ... Electrode for hyperhidrosis on the back, chest and body Accessories for the use of SweatStop® Iontophoresis for the treatment ... Iontophoresis on tap water basis is a continuous current therapy to treat hyperhidrosis (excessive sweating) at hands, feet and ...
Hyperhidrosis affects roughly 1% to 3% of the population and is most common among people who are 25 to 64 years of age. ... The condition is called hyperhidrosis and those who have it sweat four to five times as much as people who dont. If you have ... Specifically, primary focal hyperhidrosis refers to excessive sweating that is not caused by some other type of medical ... There is good news in the field of dealing with primary focal hyperhidrosis, however. If you have been trying in vain to find ...

No FAQ available that match "hyperhidrosis"

No images available that match "hyperhidrosis"