Uncontrolled blushing or redness of the face is due to vasoconstriction (decrease of a vessel by contraction of muscle fibers) of the blood vessels of the face. It implies a totally involuntary act and, who suffers it, it sees how a loop develops in which, the more it thinks in trying to avoid it, the more it develops.
Patients who have excessive sweating on the face also present similar moments, due to the fact of suffering a hyperactivity of the sympathetic nervous system , something very difficult to avoid. The fact that it is something uncontrollable makes the pharmacological treatment to prevent its symptoms is for life, something that can lead to side effects.
Videothoracoscopy thoracic sympathectomy to treat facial flushing
The thoracic sympathectomy by videotoracosopia has been performed for more than 15 years to avoid excessive sweating in the hands and underarms, and then carry out the treatment of facial flushing. In the intervention, the nerve path through which the stimulus that causes sweating and / or blushing occurs is interrupted, so that the problem is definitively solved.
It is a type of surgery that allows the patient to operate without having to open the chest, since the section of the sympathetic chain is made through a 1cm hole, on each side of the hemithorax. It is an intervention that requires general anesthesia, in which the patient is discharged after a period of between 6 and 12 hours, to return to his normal life in a few days.
Results of thoracic sympathectomy by videothoracoscopy
The results of thoracic sympathectomy by videothoracoscopy are excellent, 90% disappear immediately, although presenting some side effect. Among these is the compensating hyperspiration, which is a slight sweating in the back or thighs, which usually occurs in 40-60% of patients, without being a big problem. Likewise, between 5-8% of cases may also develop important compensating hyperspiration and the so-called Claudius Bernard Horner Syndrome, which is a slight eyelid fall and constriction of the pupil of the eye, which is usually temporary. Other risks are common in any intervention under anesthesia: bleeding, infection, pneumothorax, all occurring in specific cases.
The appearance of minimally invasive thoracic surgery has allowed many patients with hyperhidrosis or facial flushing to benefit from less aggressive techniques with excellent results, thus disappearing their concern about the problem.