Your browser doesn't support javascript.
loading
Role of surgical thoracic sympathetic interruption in treatment of facial blushing: a systematic review.
Girish, Girish; D'souza, Rovan E; D'souza, Preethy; Lewis, Melissa G; Baker, Daryll M.
Afiliação
  • Girish G; a Consultant in general and vascular surgery, Department of General & Vascular Surgery , Watford General Hospital , Watford , UK.
  • D'souza RE; b Consultant in general and vascular surgery, Department of Vascular Surgery , Royal Free Hospital, Royal Free London NHS Foundation Trust , London , UK.
  • D'souza P; c Research Associate, Social Science Research Unit and EPPI-Centre , UCL Institute of Education , London , UK.
  • Lewis MG; d Research scholar, Department of statistics , Public Health Evidence, South Asia (PHESA), Manipal University , Manipal , India.
  • Baker DM; b Consultant in general and vascular surgery, Department of Vascular Surgery , Royal Free Hospital, Royal Free London NHS Foundation Trust , London , UK.
Postgrad Med ; 129(2): 267-275, 2017 Mar.
Article em En | MEDLINE | ID: mdl-28116967
ABSTRACT

OBJECTIVES:

This paper aims to review the evidence to support the effectiveness of sympathectomy as a treatment for facial blushing in terms of relief of facial blushing, patient satisfaction, recurrence of blushing, patients regretting treatment and its associated complications.

METHODS:

A systematic search strategy was performed in Ovid-Medline, Embase, Cochrane library and NICE. Studies reporting outcomes of sympathetic interruption in the treatment of facial blushing were retrieved.

RESULTS:

Nine studies met the inclusion criteria with 1369 patients included in the final analysis. The age range of patients was 8 to 74 years (from 7 studies) with 56% females. Mean follow up was 21 months in 8 studies (range 6 to 30 months). The pooled proportion of patients who had good relief of facial blushing was 78.30% (95% C.I. 58.20% - 98.39%). Complete satisfaction was reported in 84.02% (95% C.I. 71.71% - 96.33%). Compensatory sweating and gustatory sweating were the commonest complications occurring in 74.18% (95% C.I. 58.10% - 90.26%) and 24.42% (95% C.I. 12.22% - 36.61%) respectively. The estimated proportion of patients regretting surgery was 6.79% (C.I 2.08% 11.50%).

CONCLUSION:

Sympathetic interruption at T2 or T2-3 ganglia appears to be an effective treatment for facial blushing. However, lack of randomized trials comparing sympathetic interruption with non-surgical methods of treatment and heterogeneity of included studies with respect to assessment of outcome measures preclude strong evidence and definitive recommendations.
Assuntos
Palavras-chave

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Afogueamento / Ganglionectomia Tipo de estudo: Clinical_trials / Guideline / Systematic_reviews Limite: Adolescent / Adult / Aged / Child / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2017 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Afogueamento / Ganglionectomia Tipo de estudo: Clinical_trials / Guideline / Systematic_reviews Limite: Adolescent / Adult / Aged / Child / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2017 Tipo de documento: Article