Excessive Sweating and a Glossary of Terms

A
Aluminum - A natural metal used in treatments, like Drysol, to control sweating by plugging sweat pores.
Antiperspirants - Commercial preparations available over the counter to help with normal (physiological) armpit sweating.
Apocrine gland – One of two sweat glands located in the groin, armpit and facial regions that produced more oily instead of watery secretions.
Auxiliary Sweating - A physiological mechanism that secretes sweat under normal conditions.

B

Botox - Commercial name for a product made from botulism toxin, which can help with hyperhidrosis.
Bromhidrosis - Medical term to describe excessive auxiliary sweating that is dark in color and produces an odor.

C
Clipping – Also known as clamping, a medical term used to describe one sympathectomy procedure. Titanium clips are applied to the sympathetic nerve to block nerve impulse transmission. Unlike cutting, which destroys the sympathetic chain, clipping allows for surgical reversal.
Compensatory Sweating (CS) - Medical term to describe sweating on parts of the body that otherwise would not sweat so much. It is one side affect of sympathectomy affecting most or all patients.
Cutting - Term used in sympathectomy surgery where the nerve is destroyed by electrocautery, harmonic scalpel, or excising a nerve segment.

D
Diaphoresis - Medical term for profuse sweating. It can be normal (physiologic) by occurring through physical activity, emotional response or high environmental temperature, or can be a symptom of an underlying disease (pathologic).
Dress Shield - A pad of material that protects the armpit of an undergarment from sweat and sweat stains.
Drionic - A commercial name for an iontophoresis machine, which runs low voltage electric currents through the skin to disrupt the function of the sweat glands.
Drysol – A prescription preparation made of aluminum chloride in alcohol used for treating moderate to severe armpit sweating. Aluminum component plug the sweat pores.

E
Eccrine Gland - The millions of glands through out the body that produces watery sweat.
Electrocautery - Term used by surgeons to describe a method to destroy or coagulate blood vessels or tissue.
Endoscopic - Medical term describing a surgical procedure performed with the aid of optical instruments. Endoscopic surgery involves small cuts to avoid extensive tissue damage and to promote quick recovery.
Erythrophobia – A social phobia, where a one reacts with severe facial blushing to an otherwise harmless social interaction.
ETS – Short for Endoscopic Thoracic Sympathectomy. Medical term describing a surgical procedure where the sympathetic chain is being destroyed, cut or clamped.

F
Flushing – Used to describe the heat sensation patients feel in the head area.

G
Ganglia - Mass of nerve tissue or a group of nerve cell bodies. In sympathectomy terms it relates to the area above the ribs that connects one sympathetic cell to another.
Gustatory Sweating - Side affect patients can develop after sympathectomy that involves facial sweating after eating sour or spicy foods.

H

Hemothorax - Medical term describing a situation where free blood existing in the chest cavity. This can happen during trauma or during an operation. Usually inserting a chest tube solves the problem.
Horner Syndrome – A rare complication resulting from a sympathectomy characterized by a mild drooping of the upper eyelid, narrowing of the pupil, and mild dryness of the eyeball. This resulted more during an open sympathectomy than an endoscopic procedure.
Hyperhidrosis - Excessive perspiration in the face, hands and feet defined that is more than necessary to regulate the body’s temperature.

I & J No Relevant Terms

K

Kuntz Nerve - Named after Dr. A Kuntz, who performed anatomical studies in cats, which found nerve fibers connecting the sympathetic nerve to other nerves within the chest cavity. While, these particular anatomical findings were not found in humans, the term was applied to sympathectomy literature and is blamed for failures or reoccurrences in cases when a sympathectomy is performed for hyperhidrosis.

L & MNo Relevant Terms

N
Neurotransmitters - A human body chemical structure that is secreted upon certain nerve stimuli, and acts as a catalyst to biochemical or nerve action.
Nerve Graft - Medical term used in cases where nerves are severed and then nerve pieces from other body areas are applied to the missing segment. In sympathectomy literature, this term describes a procedure where a nerve graft is taken from the ankle region to replace the missing sympathetic trunk

ONo Relevant Terms

P
Palmar Hyperhidrosis - Also known as excessive sweating of the hands.
Parasympathetic - The involuntary component of the nervous system. Also called the autonomous nervous system.
Perspiration - A physiological mechanism that regulates the human body’s heat exchange.
Plantar Sweating - Excessive sweating in the feet.
Pneumothorax – Medical term describing the presence of air inside the chest cavity, between the lung and the chest wall caused traumatically by broken ribs or an object puncture or cased during an operation when the lung is injured. It can be treated with a chest tube.

QNo Relevant Terms

R
Robinul - Medication that stimulates the sweat glands and helps in mild cases of palmar hyperhidrosis.
Rosacea - A pathological skin condition in which facial skin texture and quality is damaged because of broken blood vessels in the facial area.

S
Sympathectomy - Part of the autonomous nervous system made of sympathectomy cells that originate in the spinal cord and form a chain ganglia, which are connected to each other and run within the chest cavity on top of the ribs.

T
T2 T3 T4 levels - Used by ETS surgeons to denote the level (T2 stands for second rib level, T3 for the third rib level) of the sympathetic chain that is being cut, coagulated or clipped.
Titanium Clips – An inert material that does not cause infection or allergic reaction applied on blood vessels or nerves to stop bleeding or cease nerve stimuli.

U, V, W, X, Y & ZNo Relevant Terms