To prevent sweating from the hands, surgeons perform a minimally invasive procedure called a video-assisted thoracic
sympathectomy. The brief operation sees surgeons interrupt the sympatic nerve that controls the sweat glands in the hands.
The most common causes of gustatory sweating reported in literature are parotid surgery, traumatic lacerations to the parotid area, cervical
sympathectomy, and cervical and radical neck dissection.[52],[53] Though rare, Frey's syndrome secondary to the maxillofacial trauma has been reported by several authors worldwide, with the condition being apparent from as early as 7 months to several years later postinjury.[45],[46],[53],[54],[55] Regeneration of postganglionic parasympathetic nerve fibers in the skin takes a certain amount of time, suggesting a latent period between intraoperative auriculotemporal nerve injury and the onset of Frey's syndrome.[56] In all the case reports, the commonly associated injury is the fracture of the condyle or subcondylar region.
Results of endoscopic thoracic
sympathectomy (ETS) on hyperhidrosis, facial blushing, angina pectoris, vascular disorders and pain syndromes of the hand and arm.
Surgical treatment involving
sympathectomy or arterial reconstruction may be necessary in certain patients who have incapacitating pain and ulcers with torpid evolution, but these techniques are not exempt from comorbidities and may not always offer satisfactory results (10).
Epidural analgesia is a highly effective and popular treatment for labor pain.7 Epidural analgesia provides more analgesia in the parenteral opioid in the first and second stages of labor and results in less neonatal depression.7,8 Since sympathetic fibers are those that are affected the most physiologically in epidural analgesia, we can describe the epidural block as a kind of 'chemical
sympathectomy'.9
Delay of the flap is thought to the following: condition the tissue to ischemia, increase vascularity,
sympathectomy, reactive hyperemia, stimulation of inflammatory cascade with release of vasodilators, vascular reorganization with opening up of choke vessels, increasing vessels in the subdermal plexus, and a more longitudinal reorganization of vessels.
Surgical procedures related to cervical sympathetic chain are common like thoracoscopic cervical
sympathectomy for palmar hyperhidrosis, anterior cervical spinal surgeries [3,4] and ultrasound guided neck procedures like stellate ganglion block for chronic pain syndromes.
Similar half-octave TTS protection of the cochlea by xylazine/ketamine or
sympathectomy. Hear Res 2002;174(l-2):239-48.
Videothoracoscopic
sympathectomy results after oxybutynin chloride treatment failure.
The concept of treating angina with
sympathectomy was first proposed by Francois Frank in 1899.