Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Long Term Follow Up of Surgical Treatment of Axillary Osmidrosis and Hyperhidrosis by Instrumental Shaving and Manual Shaving

Instrumental Shaving과 Manual Shaving을 병용한 액와부 액취증 및 다한증의 수술적 치료 후 장기 추적관찰

  • Kim, Ki Yup (Department of Plastic and Reconstructive Surgery, College of Medicine, Kyung Hee University) ;
  • Cho, Sung Duck (Department of Plastic and Reconstructive Surgery, Kangnam CHA General Hospital, College of Medicine Pochon, CHA University)
  • 김기엽 (경희대학교 의과대학 성형외과학교실) ;
  • 조성덕 (포천중문의과대학 성형외과학교실)
  • Received : 2008.06.18
  • Accepted : 2008.07.14
  • Published : 2008.11.10
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Abstract

Purpose: Axillary osmidrosis is caused by excessive apocrine gland secretion, which causes an unpleasant odor. Axillary osmidrosis causes difficulty in social activities and personal handicap. We studied the long term follow up results of our surgical procedures and sought to find a best surgical treatment methods. Methods: From January 1991 to December 2006, a total of 1864 patients(587 men, 1277 women) had been treated with this procedure for axillary osmidrosis and hyperhidrosis. Follow up periods varied from 10 to 15 years. We used the subdermal excision technique, using two small incisions over the axilary folds and using a Kawata dissector(instrumental shaving) and additional manual subdermal excision(manual shaving). Results: Among the total patients, 782 patients were followed up. Except a pure hyperhidrosis patients, 759 osmidrosis patients was included. 588 patients(77.4%) had a good results, 148 patients(19.5%) had a moderate results and 23 patients(3.1%) had a recurrence. Complication developed in 189 patients(10.1%): hematoma or seroma in 25 patients, wound dehiscence in 86 patients, partial skin necrosis in 45 patients, and infection in 28 patients. Conclusion: We conclude that our method has several advantages such as 1) short operation time, 2) minimal scaring, 3) lower complication rates, 4) high satisfactory rates.

Keywords

References

  1. Byeon JH, Wee SS, Lim P: Histological location, size, and distribution of apocrine glands in axillary osmidrosis. J Korean Soc Plast Reconstr Surg 15: 419, 1988
  2. Hurley HJ, Shelley WB: A simple surgical approach to the management of axillary hyperhidrosis. JAMA 186: 109, 1963 https://doi.org/10.1001/jama.1963.03710020029006
  3. Skoog T, Thyresson N: Hyperhidrosis of the axillae. A method of surgical treatment. Acta Chir Scand 124: 531, 1962
  4. Rigg BM: Axillary hyperhidrosis. Plast Reconstr Surg 59: 334, 1977 https://doi.org/10.1097/00006534-197703000-00004
  5. Inaba M, Anthony J, Ezaki T: Radical operation to stop axillary odor and hyperhidrosis. Plast Reconstr Surg 62: 355, 1978 https://doi.org/10.1097/00006534-197809000-00003
  6. Jemec B, Holm Hansen B: Follow-up of patients operated on for axillary hyperhidrosis by subcutaneous curettage. Scand J Plast Reconstr Surg 12: 65, 1978 https://doi.org/10.3109/02844317809010482
  7. Kesselring UK: Regional fat aspiration for body contouring. Plast Reconstr Surg 72: 610, 1983 https://doi.org/10.1097/00006534-198311000-00003
  8. Ou LF, Yan RS, Chen IC, Tang YW: Treatment of axillary bromhidrosis with superficial liposuction. Plast Reconstr Surg 102: 1479, 1998 https://doi.org/10.1097/00006534-199810000-00021
  9. Park S: Very superficial ultrasound-assisted lipoplasty for the treatment of axillary osmidrosis. Aesthetic Plast Surg 24: 275, 2000 https://doi.org/10.1007/s002660010045
  10. Seo SW, Kim HT, Chang CH, Hong YG, Hwang KH: Treatment of axillary osmidrosis with Power-Assisted Lipoplasty(PAL). J Korean Soc Aesthetic Plast Surg 11: 73, 2005
  11. Kwon SS, Yoon HH, Jeong DS, Kim YS, Choe J: Dressing with a Splint in Osmidrosis. J Korean Soc Plast Reconstr Surg 31: 422, 2004
  12. Lim DW, Park J, You YC, Yang WY, Lee W: The Effectiveness of Fibrin Glue Using in Dermal Shaving at Osmidrosis. J Korean Soc Aesthetic Plast Surg 11: 93, 2005