Axillary Hyperhidrosis..

Hurley, Harry J.; Shelley, Walter B.

doi:10.1111/j.1365-2133.1966.tb12189.x

Cited by 65 publications

(7 citation statements)

References 13 publications

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“…The axilla contains both types of glands, in an approximate 1:1 ratio (11). Eighty per cent of the glands are found in a small area of the dome of the axilla in the hair-bearing area (5). Hyperhidrosis is thought to occur in the presence of histologically normal glands and nerves, although these may be present in greater than normal numbers and may be functionally hyperactive (12).…”

Section: Discussionmentioning

confidence: 99%

“…Hurley and Shelly (27) described the excision of a transverse ellipse of axillary skin with subcutaneous glands in 1963. Later they added the undermining of adjacent axillary skin, presumably because patients continued to experience excessive perspiration (5). Attention was focused on the dome of the axilla, which contains 70% to 80% of glands in the axilla.…”

Section: Discussionmentioning

confidence: 99%

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Axillary hyperhidrosis treatment by simple skin excision and undermining

Kettle¹,

Freiberg²

1999

CAN J PLAST SURG

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A xillary hyperhidrosis is a condition characterized by an excessive, usually unprovoked, production of sweat. In its idiopathic form it affects 0.6% to 1.0 % of the population (1), and may be confined to the axilla or involve the palms and soles. It also occurs secondarily as a feature of other systemic diseases (ie, thyrotoxicosis, hypoglycemia). Sweating occurs in bursts, usually associated with emotional situations, but may be spontaneous (2). When present, axillary hyperhidrosis can be the cause of tremendous embarrassment to the patient and, when severe, may even cause clothes to rot (3,4). It is more common in women, usually presenting in the late teens or early 20s. There appears to be an increased incidence among family members, implicating a genetic predisposition. Axillary hyperhidrosis is more common in individuals suffering from hyperhidrosis of the palms of the hands and/or soles of the feet. There does not appear to be an increase in the incidence of bromidrosis associated with axillary hyperhidrosis (5). Most patients present for medical or surgical treatment. This paper reviews current practices and demonstrates an effective, simple surgical procedure for the treatment of axillary hyperhidrosis. PATIENTS AND METHODS During the 13 year study period, 57 consecutive patients aged 17 to 48 underwent excision of the axillary sweat glands. The patients were referred by family physicians, dermatologists or other patients. Patients in this study were assessed as requiring surgery for relief of symptoms after conservative management had proved unsuccessful. Initial preoperative as

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Axillary hyperhidrosis treatment by simple skin excision and undermining

Kettle¹,

Freiberg²

1999

CAN J PLAST SURG

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“…Invasivere Operationen mit großen Schnitten zur Entfernung des subkutanen Gewebes [55] oder die kombinierte En-bloc-Exzision von Haut und subkutanem Gewebe in unterschiedlichen Ausmaßen [4,27,28] wurden durch schonendere Eingriffe mit minimalen Schnitten und anschließender subkorealer Kürettage [29,42,48] oder Saugkü-rettage [13] weitgehend verdrängt. Hierbei werden in zumeist nur Tumeszenzanästhe-sie kleine Schnitte wahlweise an einem oder beiden Polen der Achsel gesetzt und dann entweder mit einer scharfen Kürette oder mit einer Saugkürette das betroffene Areal quasi unterhöhlt (⊡ Abb.…”

Section: Kürettage Bzw Saugkürettageunclassified

Fokale Hyperhidrose

Rzany

Hund

2003

Hautarzt

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Die Hyperhidrose wird als Schwitzen definiert, das das physiologische Maß überschrei-tet.Ihr zugrunde liegt eine funktionelle Störung der ekkrinen Schweißdrüsen.Je nach Lokalisation des Schwitzens werden generalisierte von fokalen Formen der Hyperhidrose unterschieden. Gute epidemiologische Daten zur Häufigkeit der Erkrankung und mög-lichen Provokationsfaktoren liegen nicht vor. Die Therapie richtet sich nach der Pathogenese.Bei der generalisierten Hyperhidrose sollte zunächst eine sekundäre Hyperhidrose ausgeschlossen bzw. identifiziert und adäquat behandelt werden. Da die fokale Hyperhidrose nahezu ausschließlich idiopathischer Genese ist,kann hier sofort eine symptomatische Therapie erfolgen.Grundsätzlich sollte nach einem Stufenschema vorgegangen werden. Reicht eine topische Therapie z. B. mit Aluminumchloridhexahydrat nicht aus,kann diese ergänzend mit physikalischer Therapie (Iontophorese bei palmarer und plantarer Hyperhidrose) und/oder systemischer Therapie (oralen Anticholinergika) kombiniert werden. Bei unbefriedigendem therapeutischem Ergebnis steht in einem nächsten Schritt die Behandlung mit Botulinumtoxin A bzw.ggf.auch eine operative Behandlung (axilläre Saugkürretage bzw.Sympathektomie) zur Verfügung.Jedoch sollte diese aufgrund der relativ häufigen langfristigen Nebenwirkungen der Sympathektomie wie kompensatorisches Schwitzen nur den schwersten Fällen vorbehalten bleiben. SchlüsselwörterHyperhidrose · Schwitzen · Aluminumchloridhexahydrat · Iontophorese · Botulinumtoxin A Focal hyperhidrosis AbstractHyperhidrosis is defined as sweating that exceeds physiologic levels.It is caused by a functional abnormality of the eccrine sweat glands. Hyperhidrosis can be divided into generalized and focal.Good epidemiologic data on the frequency of the illness and possible provocation factors is not available.Treatment is based on the pathogenesis.Generalized hyperhidrosis is often secondary so underlying infections,malignancies or hormonal imbalances should be excluded.In contrast,focal hyperhidrosis is almost always idiopathic,so therapy can be started immediately,following a step-wise approach.Topical therapy with 10-30% aluminum chloride-hexahydrate is usually the first approach, followed by iontophoresis (for the palms and soles) and/or oral anticholinergics. As second line therapy botulinum toxin A or surgical procedures as axillary curettage or sympathectomy are recommended.Because of long-term side-effects such as compensatory and gustatory sweating, sympathectomy should be only considered in very severe cases.

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“…In a very different approach to axillary hyperhidrosis, it was noted that excision of axillary skin, as originally described by Skoog and Thyresson, produced unacceptable scarring (cited by Kristensen 76 ). A modification of this technique had been described by Hurley and Shelley 77 and led Lawrence and Lonsdale‐Eccles to re‐examine this technique, and make a further modification 78 . In this study, a limited ellipse excision (approximately 40 × 10 mm) was made along the skin creases in the axilla.…”

Section: Dermatological Surgerymentioning

confidence: 99%

Updates from the British Association of Dermatologists 82nd Annual Meeting, 9-12 July 2002, Edinburgh, U.K.

Eedy

2002

Br J Dermatol

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Axillary Hyperhidrosis..

Cited by 65 publications

References 13 publications

Axillary hyperhidrosis treatment by simple skin excision and undermining

Axillary hyperhidrosis treatment by simple skin excision and undermining

Fokale Hyperhidrose

Updates from the British Association of Dermatologists 82nd Annual Meeting, 9-12 July 2002, Edinburgh, U.K.

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