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COMBINATION TREATMENT OF OSMIDROSIS BY LIPOSUCTION AND RASPING  

Han, Jun (Department of Plastic and Reconstructive Surgery, Fatima Hospital)
Hong, Yong Taek (Department of Plastic and Reconstructive Surgery, Fatima Hospital)
Lim, Young kook (Department of Plastic and Reconstructive Surgery, Fatima Hospital)
Kim, Hoon Nam (Department of Plastic and Reconstructive Surgery, Fatima Hospital)
Publication Information
Archives of Plastic Surgery / v.36, no.1, 2009 , pp. 51-55 More about this Journal
Abstract
Purpose: Excessive apocrine gland secretion and bacterial decomposition cause axillary osmidrosis, which results in physical discomforts and social problems of patients. Many surgical procedures have been introduced such as skin excision and simple closure, local flap, skin graft, subcutaneous shaving and liposuction method, but the result was not satisfactory to patients and several complications, such as symptom recurrence, hematoma, seroma, delayed wound healing, skin flap necrosis and scarring remain as problems. Methods: For the purpose of reducing these problems, we employed combination treatment of liposuction and rasping method. From January 2006 to February 2008, Total 54 patients were treated with this procedure for bilateral axillary osmidrosis. Results: Follow - up evaluation period was from 2 months to 12 months, and the results were satisfactory. In our method, the length of skin incision is less than 1 cm, so the resultant scar is negligible. Apocrine glands in subcutaneous tissue were mostly removed by liposuction apparatus and remained other glands in subdermal area were mostly removed by rasping. The recurrence rate and postoperative complication were minimal. Conclusion: Our method is very simple, short operation time and excellent results without specific complication.
Keywords
Osmidrosis; Liposuction; Rasping;
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Times Cited By KSCI : 1  (Citation Analysis)
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1 Kang JS: Plastic surgery. 3rd ed. Seoul, Koonja, 2004, p 3241
2 O'Brien J, Wysocki J, Anastasi G: Limberg flap coverage for axillary defects resulting from excision of hidradenitis suppurativa, Plast Reconstr Surg 58: 354, 1976   DOI   PUBMED   ScienceOn
3 Yang WS, Sohn YH, Byun JS, Baik BS: The surgical treatment of axillary osmidrosis by modified Inaba's method. J Korean Soc Plast Reconstr Surg 17: 484, 1990
4 Hwang DH, Ahn KY, Park DH: The comparative study of the surgical treatment of axillary osmidrosis by Inaba's, manual, and combined subcutaneous tissue shaving method. J Korean Soc Plast Reconstr Surg 20: 1310, 1993
5 Lee D, Cho SH, Kim YC, Park JH, Lee SS, Park SW: Tumescent liposuction with dermal curettage for treatment of axillary osmidrosis and hyperhidrosis. Dermatol Surg 32: 505, 2006   DOI   ScienceOn
6 Shenaq SM, Spira M: Treatment of bilateral axillary hyperhidrosis by suction assisted lipolysis technique. Ann Plast Surg 19: 548, 1987   DOI   ScienceOn
7 Park MC: Surgical treatment of osmidrosis by subcutaneous tissue shaving technique. J Korean Soc Plast Reconstr Surg 16: 969, 1989
8 Oh DJ, Song JW, Han KW, Kang JS: A comparative study of manual subcutaneous shaving method and Inaba's method in axillary osmidrosis. J Korean Soc Plast Reconstr Surg 19: 87, 1992
9 Grazer FM: A noninvasive surgical treatment of axillary hyperhidrosis. Clin Dermatol 10: 357, 1992   DOI   PUBMED   ScienceOn
10 Park DH, Choo KJ, Ahn KY, Song CH: Surgical treatment in recurred axillary osmidrosis. J Korean Soc Plast Reconstr Surg 31: 506, 2004
11 Hurley HJ, Shelley WB: A simple surgical approach to the management of axillary hyperhidrosis. JAMA 186: 109, 1963   DOI   PUBMED   ScienceOn
12 Park YG, Chung S, Yoo WM, Park BY: Endoscopic assisted ultrasonic aspiration for axillary osmidrosis, J Korean Soc Plast Reconstr Surg 26: 822, 1999
13 Skoog T, Thyresson N: Hyperhidrosis of the axillae. a method of surgical treatment. Acta Chir Scand 124: 531, 1962   PUBMED
14 Inaba M, Anthony J, Ezaki T: Radical operation to stop axillary odor and hyperhidrosis. Plast Reconstr Surg 62: 355, 1978   DOI   PUBMED
15 Kesselring UK: Regional fat aspiration for body contouring. Plast Reconstr Surg 72: 610, 1983   DOI   PUBMED   ScienceOn