Axillary Hyperhidrosis: A 5-Year Review of Treatment Efficacy and Recurrence Rates Using a New Arthroscopic Shaver Technique

Abstract

The authors' new arthroscopic shaver technique is efficacious, with no significant morbidity, a 96 percent satisfaction rate, a subjectively measured 75 percent reduction of sweat, and a recurrence rate of only 6 percent. For cases of primary hyperhidrosis affecting the axilla not amenable to conservative treatment, the authors recommend an arthroscopic shaver technique as the first-line treatment of choice.

Tumescent Suction Curettage versus Minimal Skin Resection with Subcutaneous Curettage of Sweat Glands in Axillary Hyperhidrosis

“…Therefore, suction curettage has been suggested by several authors as the primary surgical treatment of choice for axillary hyperhidrosis. [28][29][30][31] Our data also suggest a significant reduction of costs and downtime. Combined with an arthroscopic shaver technique, 3 mild relapses; no severe side effects Bö ni 30 63 After 2 years 60 patients satisfied or partially satisfied, no severe side effects Bechara et al 23 42 Min 6 months Significant reduction of sweating; no severe side effects Lee et al 21 25…”

Diagnosis and management of hyperhidrosis

“…4 63 A retrospective review of 50 patients treated under general anaesthesia over five years found that the mean severity score dropped from 9.8/10 to 2.3/10 at 28 months' follow-up, although 6% developed recurrence. 64 Complications included scarring, paraesthesia, and infection, all of which reduced postoperative satisfaction.…”

Definitive Diagnosis and Management of Axillary Hyperhidrosis: The VapoMeter and Suction-Assisted Arthroscopic Shaving

“…Outcomes were evaluated based on subjective patient surveys. 34 The data provided in this report objectively document changes based on output from the VapoMeter, which produces readings that are extremely accurate and reproducible, measures the relative humidity (g/m 2 /h) of the axilla, and allows comparison with adjacent, non-hair-bearing skin as a control. Pathologic readings of hyperhidrosis will typically be five, 10, or 20 times greater than the control.…”