The Modified Liposuction-Curettage Cannula for the Treatment of Secondary Axillary Bromhidrosis with Subcutaneous Scarring

Wang, Xiaowei; Tang, Songjia; Xia, Ying; Chen, Chun-Ye; Tan, Wei‐Qiang

doi:10.1097/prs.0000000000001235

Cited by 5 publications

(5 citation statements)

References 4 publications

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“…For the recurring AO after surgery, type A botulinum toxin injection treatment has been adopted and achieved satisfactory results; however, repeated injections are required 5 . The combined surgery of liposuction curettage was also performed using the modified suctioning and curettage tubes for the recurring AO 6 . However, because the residual apocrine glands were located between the dermis and the scarring layer and fused with the scar tissue, it was difficult to accurately control the level of dissection and remove the residual apocrine glands by conventional liposuction, curettage, and other methods during the second operation.…”

Section: Discussionmentioning

confidence: 99%

“…5 The combined surgery of liposuction curettage was also performed using the modified suctioning and curettage tubes for the recurring AO. 6 However, because the residual apocrine glands were located between the dermis and the scarring layer and fused with the scar tissue, it was difficult to accurately control the level of dissection and remove the residual apocrine glands by conventional liposuction, curettage, and other methods during the second operation. Nonetheless, using violent and aggressive curettage methods could cause severe damage to the dermal tissue and cause skin necrosis.…”

Section: Discussionmentioning

confidence: 99%

“…For cases that relapse after surgery, treatment methods include type A botulinum toxin injection, secondary curettage and suctioning, and microwaves. However, only a few studies have been reported, with small sample sizes 5–7 . Here, we present a method by trimming and electrocoagulation of apocrine glands under direct vision through double incisions parallel to axillary creases to treat recurrent AO, which occurred after small-incision minimally invasive surgery.…”

mentioning

confidence: 99%

“…However, only a few studies have been reported, with small sample sizes. [5][6][7] Here, we present a method by trimming and electrocoagulation of apocrine glands under direct vision through double incisions parallel to axillary creases to treat recurrent AO, which occurred after small-incision minimally invasive surgery.…”

mentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Treatment of Recurrent Axillary Osmidrosis

Chen

Ren

et al. 2021

Ann Plast Surg

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“…[4][5][6][7] Surgical procedures, such as fat aspiration, apocrine sweat gland scraping, suction curettage, and small endoscopic incisions, are primarily aimed at removing the apocrine sweat glands. 1,3,[8][9][10][11][12][13] Surgical therapy is generally successful and complete, with up to 90 percent efficiency 14 and good clinical acceptability. However, these techniques bring up various complications (eg, gland scraping and suction curettage remove the apocrine sweat gland in an indirect vision), which induces extra injury on dermal blood vessel net and subcutaneous tissue, 11,15 while small endoscopic incisions usually produce an unsatisfactory scar due to the repeated manipulation through the incision.…”

Section: Introductionmentioning

confidence: 99%

Impact of Apocrine Gland Residue on Bromhidrosis Clinical Efficacy: A Self-controlled Case Series Study

Lan

Zhao

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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Background: Apocrine sweat gland excision is a successful surgical treatment for bromhidrosis used in clinical practice due to its efficacy and unobtrusive postoperative scar. However, a small quantity of apocrine sweat gland residue is an unavoidable intraoperative concern to minimize losses of the dermal vascular network induced by extensive excision of the apocrine sweat glands. However, the relationship between the degree of remaining glands and clinical efficacy is yet unknown. This study looked at the histopathology of preexcision and postexcision specimens from bromhidrosis patients to see a connection between residual apocrine sweat glands and clinical efficacy following apocrine sweat gland excision. Methods: Twenty-one patients with bromhidrosis were recruited from April 2018 to December 2020. In this study, a description self-controlled case series was applied, with the patient preoperative sample as the control. The entire axillary skin was excised before and immediately after apocrine sweat gland excision, and skin tissue hemotoxylin-and-eosin staining was conducted to assess and compare the remnant apocrine sweat glands. Furthermore, preoperative and 6-month postoperative NRS-11 odor scores were analyzed, as well as patient satisfaction after surgery. Results: All patients had variable degrees of apocrine sweat gland excision residue, but they all passed clinical cure criteria and presented a high patient satisfaction rate. Conclusions: Apocrine sweat gland excision with a small quantity of apocrine sweat gland remnant can nevertheless result in a favorable clinical outcome and high patient satisfaction of bromhidrosis.

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Small Incision in Lower Posterior Axillary Wall Combining Multihole Drainage Technique for the Treatment of Axillary Bromhidrosis

Tan

Zhang

et al. 2019

Indian J Surg

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The Modified Liposuction-Curettage Cannula for the Treatment of Secondary Axillary Bromhidrosis with Subcutaneous Scarring

Cited by 5 publications

References 4 publications

Treatment of Recurrent Axillary Osmidrosis

Treatment of Recurrent Axillary Osmidrosis

Impact of Apocrine Gland Residue on Bromhidrosis Clinical Efficacy: A Self-controlled Case Series Study

Small Incision in Lower Posterior Axillary Wall Combining Multihole Drainage Technique for the Treatment of Axillary Bromhidrosis

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