Treatment of Excessive Axillary Sweat Syndromes (Hyperhidrosis, Osmidrosis, Bromhidrosis) with Liposuction

Tsai, Ren‐Yeu

doi:10.1007/3-540-28043-x_75

Cited by 5 publications

(5 citation statements)

References 30 publications

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“…infection, superficial skin erosions, paresthesiae, ecchymoses, hematomas, seromas, fibrotic bands, skin retractions) [107,108] High recurrence rate (up to 23.8% by 6 mo) [107,[109][110][111] Endoscopic thoracic sympathectomy Destroys T2 and or T3 sympathetic ganglia via excision, radiofrequency, or electrocautery ablation, [112,113] or ganglion clamping [112,114] Palmar, facial, axillary Satisfactory control of sweating in up to 98%, [115] 83%, [116] and 63% [115] of patients with palmar, facial, and isolated axillary HH, respectively Moderate risk of recurrence (up to 8.8%) [117] Compensatory HH in 52.3%: subjective and objectively measurable increases in sweating in areas other than those made dry by sympathectomy [118] Compensatory HH begins 2-8 wk following endoscopic thoracic sympathectomy, may progress, and does not improve over time; it most commonly affects the back, chest, abdomen, and lower limbs High rate of patient dissatisfaction (up to 11.5%), [117] most commonly due to compensatory HH [119][120][121] Other complications include excessively dry hands, gustatory sweating, phantom sweating, Horner syndrome, neuropathic complications, and perioperative complications (e.g. pneumothorax, cardiac arrest) N A = not applicable.…”

Section: Diagnostic Approachmentioning

confidence: 99%

Botulinum Toxin for Hyperhidrosis

Grunfeld

Murray

Solish

2009

American Journal of Clinical Dermatology

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Primary focal hyperhidrosis is a disorder of idiopathic excessive sweating that typically affects the axillae, palms, soles, and face. The disorder, which affects up to 2.8% of the US population, is associated with considerable physical, psychosocial, and occupational impairments. Current therapeutic strategies include topical aluminum salts, tap-water iontophoresis, oral anticholinergic agents, local surgical approaches, and sympathectomies. These treatments, however, have been limited by a relatively high incidence of adverse effects and complications. Non-surgical treatment complications are typically transient, whereas those of surgical therapies may be permanent and significant. Recently, considerable evidence suggests that botulinum toxin type A (BTX-A) injections into hyperhidrotic areas can considerably reduce focal sweating in multiple areas without major adverse effects. BTX-A has therefore shown promise as a potential replacement for more invasive treatments after topical aluminum salts have failed. This article reviews the epidemiology, diagnosis, and management of primary focal hyperhidrosis, with an emphasis on recent research evidence supporting the use of BTX-A injections for this indication.

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Section: Diagnostic Approachmentioning

confidence: 99%

Botulinum Toxin for Hyperhidrosis

Grunfeld

Murray

Solish

2009

American Journal of Clinical Dermatology

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“…Numerous surgical methods for bromhidrosis, such as simple excision, 3 subcutaneous shaving, 4 and superficial or ultrasonic liposuction, 1,4,5 have been evaluated for safety and efficacy. They share a similar underlying mechanism: removal or destruction of the apocrine and eccrine glands.…”

Section: Discussionmentioning

confidence: 99%

A Refined Surgical Treatment Modality for Bromhidrosis: Double W Incision Approach with Tumescent Technique

Wang

et al. 2009

Dermatologic Surgery

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“…Pada studi lain Tsay juga menyatakan bahwa teknik pembedahan ini memberikan tingkat kepuasan pasien yang tinggi, yakni mencapai 80%. 18,19 Chen, dkk. juga menyebutkan bahwa efek terapi liposuction dan curettage menghasilkan perbaikan yang cukup signifikan dan memiliki tingkat rekurensi yang rendah dibandingkan dengan prosedur laser subkutan.…”

Section: Case Report Case Reportunclassified

Prosedur Pembedahan pada Hiperhidrosis Aksilaris dengan Teknik Tumesen <i>Liposuction-Curettage</i>

Yuliarto¹,

Nugraha²,

Mochtar³

et al. 2022

MEDICINUS

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Hiperhidrosis merupakan produksi keringat yang berlebihan akibat disfungsi saraf otonom, yang sering terjadi di daerah dengan konsentrasi kelenjar ekrin yang lebih tinggi seperti telapak tangan, telapak kaki, dan aksila. Tata laksana hiperhidrosis meliputi pendekatan farmakologis dan nonfarmakologis. Pasien dengan kondisi hiperhidrosis fokal yang berat perlu mempertimbangkan terapi dengan tindakan pembedahan atau injeksi botulinum toxin. Salah satu teknik pembedahan pada kasus hiperhidrosis aksila yang dinilai efektif adalah dengan prosedur kombinasi liposuction dan kuretase. Kasus: Perempuan berusia 32 tahun, dengan keluhan keluar keringat berlebih, terutama pada daerah ketiak. Pasien sebelumnya pernah mendapatkan terapi oral dari dokter kulit, namun pasien merasa keluhan belum mengalami banyak perbaikan, kemudian pasien disarankan untuk melakukan prosedur pembedahan. Pada pasien ini dilakukan prosedur liposuction-kuretase dengan anestesi tumesen. Diskusi: Penanganan hiperhidrosis dengan agen topikal maupun sistemik pada umumnya hanya memberikan supresi sementara terhadap hyperhidrosis. Pada kasus berat yang sangat mengganggu, terapi pilihan untuk hiperhidrosis aksilaris adalah prosedur pembedahan. Pilihan metode pembedahan dengan kombinasi liposuction-kuretase menggunakan teknik anestesi tumesen relatif sederhana dan aman. Penurunan sekresi kelenjar apokrin pascatindakan liposuction-kuretase memerlukan waktu yang relatif lama. Teknik pembedahan ini memiliki banyak keuntungan, seperti luka yang relatif minimal serta masa pemulihan yang singkat. Pengamatan dan penilaian hasil tindakan kombinasi liposuction-kuretase sebaiknya dilakukan berkala secara subjektif dan objektif pada bulan ke-3, 6, dan 12 pascaoperasi.

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Treatment of Excessive Axillary Sweat Syndromes (Hyperhidrosis, Osmidrosis, Bromhidrosis) with Liposuction

Cited by 5 publications

References 30 publications

Botulinum Toxin for Hyperhidrosis

Botulinum Toxin for Hyperhidrosis

A Refined Surgical Treatment Modality for Bromhidrosis: Double W Incision Approach with Tumescent Technique

Prosedur Pembedahan pada Hiperhidrosis Aksilaris dengan Teknik Tumesen <i>Liposuction-Curettage</i>

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