Sympathectomy for facial

Blushing or facial reddening is an involuntary reaction, usually as a result of a strong emotional response that stimulates the sympathetic nervous system to increase the flow of blood to the skin of the face. People with facial blushing may also have hyperhidrosis excessive sweating. Conservative treatment for facial blushing includes oral medications such as beta-blockers or anticholinergics. When anxiety is the cause of blushing psychological treatments such as cognitive behavioural therapy may be used. If blushing fails to respond to conservative medical treatment or behavioural therapy, then surgical sympathectomy is an option: this can be done either by open or endoscopic approaches. Endoscopic sympathectomy is now usually the preferred technique.
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Patient Selection for Endoscopic Thoracic Sympathectomy for Facial Blushing

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Patient Selection for Endoscopic Thoracic Sympathectomy for Facial Blushing | SpringerLink

Blushing, sometimes known as 'flushing', is where areas of the body suddenly become red in colour. This is due to an excess amount of blood flowing into the small blood vessels that are located just below the surface of the skin. The skin contains a network of small blood vessels that have tiny muscles inside the walls. Usually, the muscles are partly squeezed contracted.
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Thoracoscopic sympathectomy for isolated facial blushing.

Deep inside your chest, a structure called the sympathetic nerve chain runs up and down along your spine. It is the part of the nervous system responsible for the fight or flight response. During a sympathectomy, a surgeon cuts or clamps this nerve chain. This keeps nerve signals from passing through it. This procedure is used to treat a condition called hyperhidrosis or abnormally heavy sweating in the palms of the hands, the face, the underarms, and sometimes the feet.
Do not routinely offer pharmacological interventions to treat social anxiety disorder in children and young people. Do not routinely offer anticonvulsants, tricyclic antidepressants, benzodiazepines or antipsychotic medication to treat social anxiety disorder in adults. Do not routinely offer mindfulness-based interventions or supportive therapy to treat social anxiety disorder. Do not offer St John's wort or other over-the-counter medications and preparations for anxiety to treat social anxiety disorder. Explain the potential interactions with other prescribed and over-the-counter medications and the lack of evidence to support their safe use.
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