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Ann Thorac Surg 2007;83:358-359
© 2007 The Society of Thoracic Surgeons
The Center for Hyperhidrosis at The Beverly Hills Center for Special Surgery, 1125 South Beverly Drive, Suite 500, Los Angeles, CA 90035
(Email: dr_reisfeld@sweaty-palms.com).
| The first 20% of the full text of this article appears below. |
To the Editor:
I read with interest the article by Dewey and colleagues [1] regarding thoracoscopic sympathectomy for hyperhidrosis. After performing more than 2,000 endoscopic thoracic sympathectomy (ETS) procedures for hyperhidrosis, I believe that the only indication at present for performing ETS is severe palmar hyperhidrosis. Contrary to earlier publications recommending ETS for facial hyperhidrosis, facial blushing, and axillary hyperhidrosis (eg, [2]), my experience has been that patients presenting with only facial symptoms have a lower "cure" rate, higher rate of severe compensatory sweating, lower rate of satisfaction, and are more likely to request a
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