Can Endoscopic Sympathetic Nerve Block Help Treat Facial Flushing? - Neurosurgery

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Sympathetic nervous system facial flushing?


Hello, doctor.
I would like to ask if endoscopic sympathetic nerve block can be used to treat the problem of facial flushing? Are there hospitals in Taiwan that perform this surgery specifically for facial flushing? Thank you!

K, 20~29 year old female. Ask Date: 2017/05/11

Dr. Zhang Junwei reply Neurosurgery


I haven't heard of it.

Reply Date: 2017/05/11

More Info


Endoscopic sympathetic nerve block is a procedure that involves the interruption of sympathetic nerve pathways, which can potentially help with conditions characterized by excessive sympathetic activity, such as facial flushing. This technique is primarily used to manage conditions like hyperhidrosis (excessive sweating) and certain types of pain syndromes. However, its efficacy in treating facial flushing specifically is less well-established.

Facial flushing can occur due to various reasons, including emotional triggers, temperature changes, certain foods, or medical conditions such as rosacea or carcinoid syndrome. The sympathetic nervous system plays a role in regulating blood flow and sweat production, and in some cases, overactivity of this system may contribute to flushing. By blocking sympathetic nerves, the procedure may theoretically reduce the flushing response.

In terms of the availability of this procedure in Taiwan, it is essential to consult with a qualified medical professional who specializes in neurology or pain management. They can provide insights into whether this procedure is routinely performed for facial flushing and if it is appropriate for your specific situation.
It's important to note that while endoscopic sympathetic nerve block may offer relief for some patients, it is not without risks and potential side effects. These can include complications related to the procedure itself, such as bleeding, infection, or nerve damage. Additionally, the long-term effectiveness of the procedure for facial flushing is not well-documented, and patients should weigh the potential benefits against the risks.

If you are considering this option, it is advisable to have a thorough discussion with your healthcare provider about your symptoms, medical history, and treatment goals. They may also suggest alternative treatments for facial flushing, such as lifestyle modifications, topical treatments, or medications that can help manage symptoms.

In summary, while endoscopic sympathetic nerve block may have the potential to help with facial flushing, its effectiveness specifically for this condition is not well-established. Consulting with a medical professional who can evaluate your individual case and discuss the best treatment options is crucial.

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