Surgical Treatment of Axillary Osmidrosis

Wu, Wen-Horng; Ma, Shieh; Lin, Jin-Teh; Tang, Yu-Wen; Fang, Rong-Hwang; Yeh, Fa-Lai

doi:10.1097/00006534-199408000-00011

Cited by 69 publications

(36 citation statements)

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“…The surgical complications and results of the present group were compared with those reported in our previous report 3 Table I. The overall complication rate was 3.73 percent, which is lower than the 11.08 percent complication rate associated with partial excision of the axillary skin and subcutaneous tissue (p ϭ 0.012).…”

Section: Methodsmentioning

confidence: 55%

“…To perform comparisons, we used a grading scale similar to that used to categorize postoperative effects in our previous report. 3 In this retrospective study, the number of patients with a poor outcome significantly increased from 8.82 percent to 19.29 percent. This group of patients was not satisfied with the results.…”

Section: Discussionmentioning

confidence: 69%

“…Marked long-term improvement has been reported after these surgical treatments, but the procedures are associated with various complications, such as skin necrosis, hematoma, seroma, and ugly scarring. 3,15,16 Developing a new treatment that is as effective as surgery but causes fewer complications is reasonable and worthwhile. For years, researchers have proposed using suction-assisted lipectomy to treat axillary hyperhidrosis, 4,5 and reports that specifically discuss liposuction for axillary osmidrosis have been published.…”

Section: Discussionmentioning

confidence: 99%

“…The results have been reported elsewhere. 3 Although the success rate of these surgical approaches is high, wound complications and unsightly scarring are major concerns.…”

Section: Taipei Taiwanmentioning

confidence: 99%

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Is the Treatment of Axillary Osmidrosis with Liposuction Better than Open Surgery?

Perng

Yeh

et al. 2004

Plastic and Reconstructive Surgery

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Axillary osmidrosis is an annoying, although not life-threatening, problem that includes unpleasant odor and the occasional staining of clothing. Suction-assisted lipectomy has been tested as a treatment for axillary osmidrosis with variable success. The authors retrospectively reviewed 134 patients who underwent superficial liposuction for bilateral axillary osmidrosis in their division between June of 1998 and June of 2002. The surgical complications and results were compared with those reported in their previous report of 343 patients (102 available for postoperative result evaluation) who received open surgical treatment with partial excision of axillary skin and subcutaneous tissue. The overall complication rate was 3.73 percent, significantly lower than the 11.08 percent complication rate seen with open surgical treatment. Of their 134 patients, 114 were available for long-term follow-up. Thirteen patients (11.40 percent) had very good results, 79 patients (69.30 percent) had good results, and 22 patients (19.30 percent) had poor results. Significant differences were found between those who underwent superficial liposuction and those who underwent open surgery. The number of patients with very good and good results decreased significantly from 91.18 percent (open surgery) to 80.70 percent (liposuction), and those with little or no improvement increased from 8.82 percent (open surgery) to 19.29 percent (liposuction). Compared with open surgery for the treatment of osmidrosis, liposuction produces significantly fewer complications but is less effective. Of the patients who underwent liposuction for osmidrosis, 80 percent were satisfied with the result. Further study is needed to determine whether liposuction for osmidrosis can be improved.

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Section: Methodsmentioning

confidence: 55%

Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 99%

“…The results have been reported elsewhere. 3 Although the success rate of these surgical approaches is high, wound complications and unsightly scarring are major concerns.…”

Section: Taipei Taiwanmentioning

confidence: 99%

See 2 more Smart Citations

Is the Treatment of Axillary Osmidrosis with Liposuction Better than Open Surgery?

Perng

Yeh

et al. 2004

Plastic and Reconstructive Surgery

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show abstract

“…Different modalities that have been applied to patients include topical or systemic medication, and surgical techniques. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] Upper thoracic sympathectomy has been widely used to treat PH and can block the axillary sweating as well. [19][20][21] In comparison with other cutaneous or subcutaneous procedures, upper thoracic sympathectomy may cause less infection of the axillary sweat glands or ducts and may not produce unpleasant scarring after the procedure.…”

Section: Introductionmentioning

confidence: 99%