The plastic impression method to assess the number of active palmar sweat glands (PSI) was used to study changes of sweat gland activity during several phases of dental treatment. Subjects were 64 female and 38 male patients at a dental surgery. At the beginning they scaled five typical dental situations in terms of perceived threat: waiting-room before treatment: sitting down in the dental chair; dentist enters and starts treatment; after treatment in the dental chair; and back in waiting-room after treatment. Four prints were taken in the waiting-room before treatment and one in each other situation described above. The average of prints 3 and 4 was used for phase comparisons. Palmar sweat index values were generally in accordance with the threat of the situations. In particular there was a rise from waiting-room to sitting down in the dental chair and a further increase at the dentist's entry, whereafter values dropped considerably. A significant decrease from the first two waiting-room values to the following two suggests that the PSI reacts sensitively to the novelty of the assessment procedure itself and that the very first recordings should hence not be taken into evaluation.
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http://dx.doi.org/10.1016/0022-3999(91)90008-c | DOI Listing |
Arch Dermatol Res
January 2025
Department of Dermatology, Medical Research and Clinical Studies Institute, National Research Centre, Giza, Egypt.
Palmar hyperhidrosis is common condition that is challenging to treat. Nonsurgical treatments include topical antiperspirants, iontophoresis, anticholinergic drugs and botulinum toxin injections. To evaluate the safety and efficacy of ablative fractional laser therapy, combined with topically applied botulinum toxin versus its injection for the treatment of hyperhidrosis.
View Article and Find Full Text PDFJ Surg Case Rep
January 2025
Department of Pain, Meizhou People's Hospital, 514031 Meizhou, Guangdong, China.
Palmoplantar hyperhidrosis is a functional disease with an unknown pathogenesis, making it challenging to find a lasting and effective treatment. This article reports a case of a 43-year-old patient with palmoplantar hyperhidrosis treated with computed tomography (CT)-guided radiofrequency neurotomy (RFN) of bilateral T3-4 sympathetic chain combined with bilateral L3 sympathetic ganglion. The optimal puncture level and skin entry point were selected, and measurements were taken using a CT tool to determine needle depth, angle, and distance from the midline.
View Article and Find Full Text PDFCureus
November 2024
Department of Cardiothoracic Surgery, Alexandria University, Alexandria, EGY.
Introduction: Primary hyperhidrosis is a disease that is characterized by excessive sweating beyond what is required to maintain the normal temperature of the body. Moreover, it has a great adverse effect on the life of the affected persons because of problems in their social lives. There are different modalities to treat primary hyperhidrosis, including medical and surgical treatment.
View Article and Find Full Text PDFJ Minim Access Surg
November 2024
Department of Thoracic Surgery, Trakya University Faculty of Medicine, Edirne, Turkey.
Nihon Yakurigaku Zasshi
November 2024
Hisamitsu Pharmaceutical Co., Inc.
APOHIDE Lotion 20% is a topical agent for treating primary palmar hyperhidrosis that contains the active ingredient oxybutynin hydrochloride. Oxybutynin hydrochloride has anticholinergic effects and inhibits sweating by binding to the M receptor, a subtype of the muscarinic acetylcholine receptor, in eccrine sweat glands. The clinical response to oxybutynin hydrochloride treatment also involves N-desethyloxybutynin, an active metabolite of oxybutynin.
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