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Original Articles: General Thoracic

Invited Commentary

Department of Surgery, Virginia Mason Medical Center, 1100 Ninth Ave, Seattle, WA 98111

(Email: gtsdel@vmmc.org).

The first 20% of the full text of this article appears below.

Facial blushing is the most uncommon presentation of autonomic dysfunction that surgeons are asked to review. The authors highlight how important it remains to assess other physiologic, hormonal, or emotional factors before proceeding with sympathicotomy. Facial blushing should be distinguished from craniofacial hyperhidrosis, and the authors have specifically focused on patients with isolated facial blushing in this assessment. Many surgeons selectively avoid treating these patients because of variable results from previous reports and because of the requirement for a dissection adjacent to the Stellate ganglion. The authors [1] observed only one episode of . . . [Full Text of this Article]

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Sympathicotomy for Isolated Facial Blushing: A Randomized Clinical Trial

Peter B. Licht, Hans K. Pilegaard, and Lars Ladegaard
Ann. Thorac. Surg. 2012 94: 401-405. [Abstract] [Full Text] [PDF]