Effectiveness and complications of subdermal excision of apocrine glands in 206 cases with axillary osmidrosis

Qian, Ji; Wang, X.J.

doi:10.1016/j.bjps.2009.05.004

Cited by 33 publications

(29 citation statements)

References 15 publications

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“…Most patients (95%) were satisfied with their results in terms of effectiveness and side-effects. Although some differences between the current and prior bromhidrosis treatment studies were evident, there was no significant difference in the clinical outcomes between the 1,444 nm laser and other methods5,6,11. In a study that involved subcutaneous treatment using a 1,064 nm laser, malodor elimination was good in four patients (33.3%), fair in eight patients (66.7%), and poor in no patients5.…”

Section: Discussionmentioning

confidence: 88%

“…In a study that involved subcutaneous treatment using a 1,064 nm laser, malodor elimination was good in four patients (33.3%), fair in eight patients (66.7%), and poor in no patients5. Surgical treatment resulted in malodor elimination that was good in 398 axillae (95%), fair in 14 axillae (3.4%), and poor in no axillae (0%)6. In a study involving liposuction treatment, malodor elimination was very good in 13 patients (11.4%), good in 79 patients (69.2%), and poor in 22 patients (19.3%).…”

Section: Discussionmentioning

confidence: 99%

“…Hypertrophic scarring occurred in two axillae (6%) and temporary skin pigmentation in six axillae (17%). Compared with other methods, including surgical excision or liposuction, the 1,444 nm laser treatment had less significant side-effects, such as hematoma and wound infection6,11.…”

Section: Discussionmentioning

confidence: 99%

“…On follow-up days 30, 60, 120, and 180, we measured the severity of remaining odor, postoperative pain, degree of reduced mobility, and the probability of another procedure being required, as well as overall satisfaction. The severity of the remaining malodor was categorized: good (the patient and the two dermatologists positioned within 0.5 m were unaware of malodor), fair (much reduced but occasionally noticeable to the patient and two dermatologists when sweating), and poor (both patient and dermatologists were aware of malodor, or no change compared to the previous malodor)5,6,7. Patient satisfaction was classified as totally satisfied, partially satisfied, or regretful6.…”

Section: Methodsmentioning

confidence: 99%

“…The severity of the remaining malodor was categorized: good (the patient and the two dermatologists positioned within 0.5 m were unaware of malodor), fair (much reduced but occasionally noticeable to the patient and two dermatologists when sweating), and poor (both patient and dermatologists were aware of malodor, or no change compared to the previous malodor)5,6,7. Patient satisfaction was classified as totally satisfied, partially satisfied, or regretful6. Pain and limitation of mobility measurements were recorded on a 10-point scale, with lower scores indicating less severity.…”

Section: Methodsmentioning

confidence: 99%

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A Prospective, Long-Term Follow-Up Study of 1,444 nm Nd:YAG Laser: A New Modality for Treating Axillary Bromhidrosis

et al. 2014

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BackgroundSurgery for bromhidrosis has a high risk of complications such as hematoma and necrosis. New nonsurgical methods may reduce the burden on surgery and the risks for the patient.ObjectiveThis study was performed to evaluate the efficacy and side-effects of the 1,444 nm Nd:YAG interstitial laser for treating axillary bromhidrosis.MethodsEighteen bromhidrosis patients were treated with a 1,444 nm Nd:YAG laser at Korea University Ansan Hospital. The post-treatment follow-up was 6 months. After the procedure, we confirmed apocrine gland destruction through histopathological examination. At each follow-up, we measured the severity of the remaining odor, postoperative pain, degree of mobility restriction, and overall satisfaction.ResultsAfter 180 days of follow-up, malodor elimination was good in 20 axillae, fair in 12 axillae, and poor in four axillae. At the end point of the study, 14 patients were totally satisfied with the laser treatment, three patients were partially satisfied, and one patient was disatisfied. Pain and limitation of mobility were significantly reduced within 1 week post-operatively, and were almost resolved within 4 weeks post-operatively. A histopathological examination revealed decreased density and significant alterations to the apocrine glands.ConclusionSubdermal coagulation treatment with a 1,444 nm Nd:YAG interstitial laser may be a less invasive and effective therapy for axillary bromhidrosis.

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

A Prospective, Long-Term Follow-Up Study of 1,444 nm Nd:YAG Laser: A New Modality for Treating Axillary Bromhidrosis

et al. 2014

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Disorders of the Sweat Glands

Coulson

Wilson

2016

Rook's Textbook of Dermatology, Ninth Edition

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In this chapter the anatomy, physiology and diseases of eccrine and apocrine sweat glands are described. The clinical patterns, causes and associations of excessive sweating as well as those of reduced or absent sweating are addressed in detail. Guidance is given on the management of hyperhidrosis and on the choice of appropriate therapy, including topical and systemic agents and surgery. The presentation and management of occlusive and inflammatory disorders of eccrine sweat glands is covered fully, as are the clinical features and management of abnormal sweat odour and colour and of apocrine miliaria. Brief reference is made to conditions associated with sweat gland inclusions.

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Disorders of the Sweat Glands

Coulson,

Wilson

2024

Rook's Textbook of Dermatology

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The chapter covers the anatomy and physiology of the eccrine and apocrine glands, and the causes of and management of both localised and focal hyperhidrosis, including cold‐induced and gustatory sweating. The causes and management of localised and generalised anhidrosis is addressed, including Ross syndrome. The classification of miliaria is considered, as well as the features of neutrophilic hidradenitis, granulosis rubra nasi and eccrine syringosquamous metaplasia. Abnormalities of apocrine sweat including malodour and sweat colour, haematidrosis and Fox–Fordyce disease are described.

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Effectiveness and complications of subdermal excision of apocrine glands in 206 cases with axillary osmidrosis

Cited by 33 publications

References 15 publications

A Prospective, Long-Term Follow-Up Study of 1,444 nm Nd:YAG Laser: A New Modality for Treating Axillary Bromhidrosis

A Prospective, Long-Term Follow-Up Study of 1,444 nm Nd:YAG Laser: A New Modality for Treating Axillary Bromhidrosis

Disorders of the Sweat Glands

Disorders of the Sweat Glands

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