A case series evaluating microwave-based therapy for axillary hyperhidrosis and bromhidrosis

Mohamoud, Abdiweli Awil; Zeraiq, Lina; Vestergaard, Tine

doi:10.1080/09546634.2020.1856317

Cited by 4 publications

(2 citation statements)

References 13 publications

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“…MED destroys eccrine and apocrine glands with minimal damage to surrounding tissue, and has been shown to be effective in hyperhidrosis in a number of small studies. 28 However, MED was overall harmful for HS. An RCT was discontinued due to significant adverse effects and worsening of HS disease.…”

Section: Discussionmentioning

confidence: 99%

Hyperhidrosis treatments in hidradenitis suppurativa: A systematic review

Shih

Lee

Seivright

et al. 2021

Dermatologic Therapy

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Hyperhidrosis impairs quality of life (QOL) in hidradenitis suppurativa (HS) patients and may exacerbate HS. However, there is limited literature on whether hyperhidrosis treatments improve HS disease. To systematically review literature on efficacy and tolerability of hyperhidrosis treatments in HS patients. In May 2021, MEDLINE and EMBASE databases were systematically searched by two reviewers per PRISMA guidelines for articles on hyperhidrosis and HS. Sixteen articles met inclusion criteria (2 randomized controlled trials [RCTs], one case-control study, three cross-sectional studies, 10 case-studies/ series), encompassing 252 HS patients across studies. They examined botulinum toxin A (BTX-A) (n = 6) and B (BTX-B) (n = 1), suction-curettage (n = 1), diode laser (n = 1), and microwave-based energy device (MED) (n = 3). Overall, BTX treatments improve HS severity, QOL, hyperhidrosis, and were well-tolerated. Suction-curettage did not improve disease. One HS patient tolerated diode laser well, with improvement in sweating and HS. One RCT studying MED was discontinued due to adverse events. Two studies reported MED-induced HS. BTX was overall helpful in HS patients, including in patients without concomitant hyperhidrosis. However, more prospective studies are needed to examine its utility in HS. There is potential harm of MEDs in HS. Most studies examining hyperhidrosis treatments in HS patients are low level of evidence. Larger RCTs should examine the efficacy and tolerability of hyperhidrosis treatments in HS.

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Section: Discussionmentioning

confidence: 99%

Hyperhidrosis treatments in hidradenitis suppurativa: A systematic review

Shih

Lee

Seivright

et al. 2021

Dermatologic Therapy

View full text Add to dashboard Cite

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“…It is important to note that the starch iodide test region should be larger than the armpit hair district, from the upper third of the upper arm to the level of nipple, from the lateral margin of breast to the posterior axillary line. To evaluate the odor, it was graded into 4 levels, 6 reported by the patients and their close people (Table 2).…”

Section: Methodsmentioning

confidence: 99%

Comparison of Microwave-Based Therapy and Negative-Pressure Suction-Curettage for Axillary Hyperhidrosis and Bromhidrosis

Ge,

Liu,

Zhang

2024

Ann Plast Surg

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Background Axillary hyperhidrosis and bromhidrosis are common clinical diseases, affecting the patients' work and life. Negative-pressure suction-curettage is the most popular treatment now, but challenged by a new microwave-based therapy (MiraDry). We intend to compare the safety and efficiency of the 2 treatments. Methods A retrospective analysis of 39 female patients with both primary hyperhidrosis and bromhidrosis was conducted. Seventeen patients were treated with MiraDry, and 22 underwent negative-pressure suction-curettage. The postoperative follow-up program included sweat and odor assessments, satisfaction measurement, safety evaluation, and recurrence assessment at different time points until 12 months. Results Both treatments showed a significant reduction (P < 0.05) in HDSS score and odor level at 6 and 12 months compared with the baseline. No significant difference in relative reduction was observed between the 2 groups. The satisfaction score of the microwave-based therapy group was higher than that of the negative-pressure suction-curettage group, but no statistical difference was found. The difference in the recurrence rate and complication rate between the groups did not reach significance. Conclusions Microwave-based therapy is a noninvasive treatment with durable effects, low risks, shorter downtime, good appearance, and high satisfaction for axillary hyperhidrosis and bromhidrosis.

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New developments in cosmetic applications of electromagnetic fields: Client and occupational hazard assessment

Stam

2024

Bioelectromagnetics

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Energy‐based devices are used to improve features of appearance for aesthetic reasons while avoiding more invasive methods. Examples of treatment targets are the reduction of wrinkles, sagging, unwanted skin lesions, body hair and excess fatty tissue, and the enhancement of muscle tissue. One treatment modality is the use of electromagnetic fields (EMF, 0‒300 GHz). The present work aims to give an up‐to‐date survey of cosmetic applications of EMF for professional use with an assessment of client and worker exposure and possible adverse effects. A systematic search was conducted for peer‐reviewed articles (2007–2022), patents, premarket notifications, manufacturer data, and adverse effects reports. Five categories of cosmetic EMF device with increasing frequency were identified: sinusoid low frequency magnetic fields for lipolysis; pulsed low frequency magnetic fields for skin rejuvenation; pulsed low frequency magnetic fields for muscle building; radiofrequency EMF for lipolysis or skin rejuvenation; microwaves for hair removal or hyperhidrosis. In the vicinity of the last four device categories, there is a potential for exceeding the occupational exposure limits in the European Union EMF Directive, which could lead to nerve or muscle stimulation, burns or overheating. There are also potential hazards for clients or workers wearing active or passive medical devices. The severity of reported adverse effects increases with EMF frequency.

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A case series evaluating microwave-based therapy for axillary hyperhidrosis and bromhidrosis

Cited by 4 publications

References 13 publications

Hyperhidrosis treatments in hidradenitis suppurativa: A systematic review

Hyperhidrosis treatments in hidradenitis suppurativa: A systematic review

Comparison of Microwave-Based Therapy and Negative-Pressure Suction-Curettage for Axillary Hyperhidrosis and Bromhidrosis

New developments in cosmetic applications of electromagnetic fields: Client and occupational hazard assessment

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