Liposuction-assisted circumferential trimming in treatment of axillary osmidrosis (AO)

Hu, Xiaogen; Chen, Bin; Yang, Dingquan

doi:10.1080/09546634.2018.1441486

Cited by 5 publications

(4 citation statements)

References 15 publications

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“…Tumescent anesthesia is in favor of subcutaneous undermining and minimize the risk of hemorrhage with the combined application of epinephrine. 17 Hematoma has great influence on the effectiveness and safety of surgery. Strict hemostasis and drainage are the keys to preventing hematoma formation.…”

Section: Discussionmentioning

confidence: 99%

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Effectiveness and safety of the improved mini‐incision surgery for osmidrosis treatment

Pan

et al. 2021

J of Cosmetic Dermatology

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Axillary Osmidrosis characterized by excessive foul odor is a disturbing problem that seriously interferes with the normal social life quality. 1 Ammonia and short-chain fatty acid production from bacterial decomposition of apocrine secretions leads to the bad smell. 2,3 Therefore, the key points of osmidrosis treatment are to remove apocrine glands, reduce gland secretion, or reduce bacterial aggregation. Despite multiple conservative and nonsurgical methods have been described, surgical removal of apocrine glands still is the backbone of osmidrosis treatment. Surgery could remove apocrine gland tissue more thoroughly and definitely under direct vision. However, complains including paresthesia, scars, local infection, hematoma, flap necrosis, and long recovery time, limit patient satisfaction with surgical treatment. 4 In this study, we adopted the improved mini-incision surgery for all the axillae treatment. This paper aims to evaluate the clinical effectiveness and safety of the method to provide a better way for osmidrosis treatment. | ME THODS | PatientsA retrospective analysis of 61 patients underwent improved miniincision surgery was carried out from

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Section: Discussionmentioning

confidence: 99%

“…Besides, the application of appropriate tumescent anesthesia also helps to protect the subdermal vascular network. Tumescent anesthesia is in favor of subcutaneous undermining and minimize the risk of hemorrhage with the combined application of epinephrine 17 …”

Section: Discussionmentioning

confidence: 99%

Effectiveness and safety of the improved mini‐incision surgery for osmidrosis treatment

Pan

et al. 2021

J of Cosmetic Dermatology

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“…Since 1999, we have used the surgical method of trimming and coagulating the apocrine glands under direct vision through double incisions parallel to axillary creases to treat primary AO. Subsequently, with the development of small-incision minimally invasive technology and improvement in instruments, for patients with AO who undergo surgery for the first time, we gradually switched to small-incision minimally invasive surgery such as small-incision curettage, liposuction curettage, and liposuction trimming 15 . On the other hand, in patients who relapse after the primary surgery, we still use the method of trimming and electrocoagulation to remove and destroy the apocrine glands under direct vision through double incisions parallel to axillary creases.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Recurrent Axillary Osmidrosis

Chen

Ren

et al. 2021

Ann Plast Surg

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Objective The aim of this study was to explore the clinical effect of treatment for recurrent axillary osmidrosis (AO) after small-incision minimally invasive surgery by trimming and electrocoagulation of apocrine glands under direct vision through double incisions parallel to axillary creases. Methods This was a retrospective study. From September 2012 to January 2019, 75 axillae in 48 cases of recurrent AO after small-incision minimally invasive surgery were treated using trimming and electrocoagulation of apocrine glands under direct vision through double incisions parallel to axillary creases. Patient data, such as sex, age, original surgery method, the severity of underarm malodor before and after the operation, and occurrence of complications, were collected and analyzed. Results For the follow-up of at least 12 months after the surgery, all patients' underarm malodor disappeared or was significantly reduced. Patients with preoperative severity of grade I did not show a recurring AO, whereas the recurrence rate of grade II and grade III AO was 7.9% and 14.3%, respectively. Furthermore, the AO recurrence rate was 9.1% for those younger than 18 years and 6.2% in those 18 years or older. Subcutaneous hematomas appeared on 3 axillae (4.0%), and the contraction of subdermal fibrotic bands appeared on 5 axillae (6.7%). Conclusions Patients with recurring AO after small-incision minimally invasive surgery achieved good treatment results by trimming and electrocoagulation of apocrine glands under direct vision through double incisions parallel to axillary creases.

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“…This procedure uses negative pressure to repeatedly suck and scrape the subcutaneous tissue with a liposuction needle to damage the sweat glands after using tumescent anesthesia in the armpit area. A study conducted by Hu X. et al [9] reported a positive outcome rate of 94.9% and a patient satisfaction rate of 93.7% among 79 patients after a 12-24 months follow-up. There were a few notable complications, including 3 cases of subcutaneous hematoma and 4 cases of localised skin necrosis.…”

Section: Aspiration With Negative Pressure In Axillary Subcutaneous S...mentioning

confidence: 98%

Current research on the treatment of bromhidrosis

2023

MEDSC

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Although there have been high incidence of bromhidrosis, its pathogenesis is still not fully understood and there are no clear treatment guidelines. Many clinical treatments for bromhidrosis have been proposed, including topical medication, physiotherapy, injection therapy, and surgery. This article offers a summary and a review of the treatment of bromhidrosis and how effective each of them is.Bromhidrosis is a hereditary disease which presents itself primarily during adolescence. Dealing with this disease during this stage can put a strain on sufferers' interpersonal relationships, increase their psychological stress, and frequently leave them feeling depressed. Even with these factors being considered, only a small percentage of bromhidrosis patients seek medical attention. Bromhidrosis, which is often accompanied by hyperhidrosis, is the result of microorganisms on the skin breaking down secretions from the apocrine glands. Treatment methods for bromhidrosis can be categorized as either non-surgical or surgical procedures. Non-surgical treatment of bromhidrosis Medication and topical products

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Liposuction-assisted circumferential trimming in treatment of axillary osmidrosis (AO)

Abstract: The liposuction assisted circumferential trimming technique is proved reliable and safe in treatment for axillary osmidrosis.

Cited by 5 publications

References 15 publications

Effectiveness and safety of the improved mini‐incision surgery for osmidrosis treatment

Effectiveness and safety of the improved mini‐incision surgery for osmidrosis treatment

Treatment of Recurrent Axillary Osmidrosis

Current research on the treatment of bromhidrosis

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