Osmidrosis Treatment Approaches

Shin, Jin Yong; Roh, Si-Gyun; Lee, Nae-Ho; Yang, Kyung‐Moo

doi:10.1097/sap.0000000000000911

Cited by 29 publications

(20 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A recent review with a meta-analysis (18) which includes forty studies published before February 2016 demonstrated that surgical modality was the most effective treatment for axillary bromhidrosis. Among the surgical modalities, liposuction was identi ed as the most effective method, with the lowest number of associated complications.…”

Section: Discussionmentioning

confidence: 99%

Refined tumescent liposuction-curettage with pruning in small incisions for treatment of axillary bromhidrosis

Zhou

Fang

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Axillary bromhidrosis is widespread social problem in our society. Various modalities have been developed for destruction or removal of the apocrine sweat glands to eliminate the malodor. But conventional surgical treatments often result in high complication rate and frequent recurrence. In the study, we evaluate the effect of refined tumescent liposuction-curettage with pruning in small incisions in the treatment of axillary bromhidrosis. Methods From July of 2013 to April of 2019, 110 patients (75 women and 35 men) with axillary bromhidrosis were treated by refined tumescent liposuction-curettage with pruning. The results of malodor elimination were evaluated by both the patients and doctors as very satisfied (excellent), satisfied (good), some satisfied (fair), and not satisfied (poor). Postoperative complications, including dehiscence, infection, wound contracture, cyst, subcutaneous hydrops, haematoma or seroma were evaluated as well. Preoperative and postoperative histological examinations of axillary tissue were performed in 2 patients. Results Among subjective evaluation of the 110 patients, 33 (30.0%) were graded as very satisfed results, 70 (63.6%) were satisfied, and 7 (6.4%) was some satisfied. The objective evaluation showed 43 (39.1%) were graded as excellent results and all the others were good. No serious complications were happened except three showed slightly local subcutaneous hydrops and haematoma. Histologic examinations showed the apocrine glands significant decreased or destroyed after surgery. Conclusion Refined tumescent liposuction-curettage with pruning in small incisions is an effective method for treatment of axillary bromhidrosis.

show abstract

Section: Discussionmentioning

confidence: 99%

Refined tumescent liposuction-curettage with pruning in small incisions for treatment of axillary bromhidrosis

Zhou

Fang

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…On the one hand, medical treatments such as topical agents, systemic agents, and botulinum toxin A have temporary results in the treatment of AO [3,7]. Most patients seek a more permanent solution, which can be accomplished only by more invasive means.…”

Section: Discussionmentioning

confidence: 99%

“…To date, some strategies for the treatment of AO and AH have been developed, with variable efficacy [3]. A major concern about the treatment of AO and AH is the lack of clinical guidelines [3]. Overall, in the current literature, the clinical approach to AO and AH remains controversial, ranging from conservative medical to surgical choices [4].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Histopathological Evidence of the Efficacy of Percutaneous Ethanol Injection in the Treatment of Axillary Osmidrosis: A Promising New Procedure

Asilian

Abtahi‐Naeini

Shahbazi

2017

Skin Appendage Disord

View full text Add to dashboard Cite

Axillary osmidrosis (AO) is a common disease, affecting patients psychologically and influencing their quality of life. The medical approach to AO remains controversial, ranging from conservative medical to surgical choices. We describe the successful treatment of AO and axillary hyperhidrosis (AH) using percutaneous ethanol injection (PEI) in a 30-year-old patient with AO and AH who did not respond to topical and systemic medication. We also describe the clinical efficacy of PEI by presenting our experience with histopathological evidence of necrosis of the sweat glands.

show abstract

“…The more aggressive removal of apocrine glands leads to better outcomes, but it is also associated with a higher risk of developing complications, such as hematomas, seromas, infections, poor wound healing, and scar formation. With the progress of minimal invasive intervention and combination therapy in recent years, wound size could be smaller and the rates of common complications after AO surgery have been tremendously decreased to less than 4.5% (1.5%-4.5%) [21]. Therefore, in terms of efficacy and acceptable risks, surgical intervention remains the leading choice for managing AO.…”

Section: Introductionmentioning

confidence: 99%

Modified Suction-Assisted Cartilage Shaver for Axillary Osmidrosis

Tseng

Lee

Lin

2019

BioMed Research International

View full text Add to dashboard Cite

Apocrine osmidrosis (AO) is a chronic, recurrent, and disturbing disease characterized by malodorous secretion from apocrine glands. Despite various conservative and nonsurgical treatments, surgical removal of apocrine glands remains the cornerstone for AO treatment. Conventional suction-assisted cartilage shaver is effective; however, there are several risks and complications. Hence, we modified the conventional method to achieve better effectiveness and reduce complications. This paper aims to evaluate the clinical effectiveness and the complications arising from the modified suction-assisted cartilage shaver for AO. Thirty-nine patients (M/F=11/28, average age 26.3 years) received this surgical treatment for AO from 2013 to 2017 in the Department of Dermatology at Kaohsiung Chang Gung Memorial Hospital, Taiwan. A suction-assisted cartilage shaver was introduced for the ultimate removal of the subcutaneous tissue containing the apocrine glands. A 0.5 cm incision was made in the center of the identified elliptical surgical area at each axilla. After defatting, the incision was closed primarily. The defatting skin was anchored to the axillary fascia by using 4-0 sutures without drains. We then evaluated the clinical efficacy and complications. The mean duration of follow-up was 31.8 months (12–68 months). Among patients receiving the modified cartilage shaving for AO, 92.3% achieved excellent-to-good results, 5.1% had acceptable results, and 2.6% had fair results. None of them experienced poor clinical efficacy. There was no skin necrosis, hematoma, nor wound infection after the surgery. There were no recurrences in all these patients 2 years after the surgery. This modified suction-assisted cartilage shaver for AO results in good efficacy, a low complication rate, and a low recurrence rate. The method is superior to the conventional one due to tissue glue-free procedure, greater comfort in postoperative care, minimal wounds, less hematoma, and less skin necrosis. The clinical study registration number of this study is NCT03793374.

show abstract

Osmidrosis Treatment Approaches

Cited by 29 publications

References 44 publications

Refined tumescent liposuction-curettage with pruning in small incisions for treatment of axillary bromhidrosis

Refined tumescent liposuction-curettage with pruning in small incisions for treatment of axillary bromhidrosis

Histopathological Evidence of the Efficacy of Percutaneous Ethanol Injection in the Treatment of Axillary Osmidrosis: A Promising New Procedure

Modified Suction-Assisted Cartilage Shaver for Axillary Osmidrosis

Contact Info

Product

Resources

About