Excision of Apocrine Glands With Preservation of Axillary Superficial Fascia for the Treatment of Axillary Bromhidrosis

Li, Zhuoran; Sun, Chen-Wei; Zhang, Junyan; Qi, Yuqing; Hu, Jianzhong

doi:10.1097/dss.0000000000000346

Cited by 23 publications

(18 citation statements)

References 10 publications

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“…[2][3][4] To date, the surgical ablation of apocrine glands is considered the most effective way to permanently eliminate or reduce axillary malodor. 5 However, this procedure is inevitably associated with a long downtime and the risk of complications.…”

Section: Backg Rou N Dmentioning

confidence: 99%

“…To decrease the quantity or secretion of sweat glands, various treatment modalities have been developed, such as the local injection of botulinum toxin A, the surgical excision of sweat glands, tumescent sweat gland suction curettage, and subcutaneous laser treatment . To date, the surgical ablation of apocrine glands is considered the most effective way to permanently eliminate or reduce axillary malodor . However, this procedure is inevitably associated with a long downtime and the risk of complications.…”

Section: Introductionmentioning

confidence: 99%

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Fractional microneedling radiofrequency treatment for axillary osmidrosis: A minimally invasive procedure

Lin

Huo

et al. 2018

J of Cosmetic Dermatology

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Background Axillary osmidrosis is a distressing condition that can reduce quality of life and lead to personal and social problems. Fractional microneedling radiofrequency (FMR) treatment is a new minimally invasive procedure. Objective We sought to assess retrospectively the efficacy and safety of FMR treatment for axillary osmidrosis compared with subcutaneous surgery in a Chinese population. Methods In total, 48 and 42 patients receiving FMR treatment and subcutaneous surgery, respectively, were recruited. The treatments were assessed in terms of efficacy, complications, and malodor recurrence. Patient satisfaction and the Dermatology Life Quality Index (DLQI) were also evaluated. Results In total, 93.75% of patients in the FMR group and all patients in the surgery group showed good‐to‐excellent improvement in osmidrosis (P > 0.05). The patients’ satisfaction in the FMR group was significantly higher than that in the surgery group at 1 month after treatment, but there were no differences between the two groups at the 3rd and 6th months (P > 0.05). The DLQI score was significantly decreased after both treatments. Two patients in the surgery group experienced hemorrhage complications, and no patients in the FMR group showed severe adverse effects. There was no significant difference in the malodor recurrence rate between the groups. Conclusions Fractional microneedling radiofrequency treatment offers a safe and effective method for treating axillary osmidrosis with minimal recovery time and no strict postoperative immobilization.

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Section: Backg Rou N Dmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Fractional microneedling radiofrequency treatment for axillary osmidrosis: A minimally invasive procedure

Lin

Huo

et al. 2018

J of Cosmetic Dermatology

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“…Since open excision of axillary sweat glands was first reported as a surgical treatment for hyperhidrosis by Skoog and Thyresson [7] in 1962, many surgeons and dermatologists have performed similar procedures for AO. Various modifications on types of incision, drainage methods, suture techniques, and tie-over dressings have been attempted [1,8,9] . Open excision is still commonly performed in Asian countries because the entire procedure can be completed using a basic set of surgical instruments that include forceps, skin hooks, dissecting scissors, and suture materials.…”

Section: Introductionmentioning

confidence: 99%

Safety and efficacy of surgical treatments for axillary osmidrosis: a retrospective cohort study comparing conventional open excision with cartilage-shaver closed curettage

Tanaka¹,

Morioka²,

Akamine³

et al. 2020

PAR

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“…[ 1 ] It does not affect physical health but has a strong negative effect on one's professional and social life, particularly in Asians. [ 2 , 3 ] Thus, it is necessary to completely eradicate bromhidrosis. Drug treatment of this disease is often only temporarily effective.…”

Section: Introductionmentioning

confidence: 99%

“…Drug treatment of this disease is often only temporarily effective. [ 2 ] At present, the elimination of the apocrine glands by surgical procedures seems to be the most effective and logical therapeutic method. [ 4 ]…”

Section: Introductionmentioning

confidence: 99%

The curative effect of liposuction curettage in the treatment of bromhidrosis

et al. 2017

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Background:We aimed to understand the curative effect of liposuction curettage (LC) in the treatment of bromhidrosis.Methods:Relevant studies published before January 2017were searched from the PubMed, Embase, Cochrane Library, Wanfang, VIP, and China National Knowledge Infrastructure databases. Parameters including recurrence, complications, complete response, and overall response were assessed. Meta-analysis was performed using the R 3.12 statistical package. Odds ratio (OR) and 95% confidence interval (95% CI) were used for dichotomous data. Heterogeneity was assessed using Cochran's Q-statistic and I2 test. In addition, Egger's test was conducted to detect publication bias.Results:Ten studies with a total of 1124 participants (545 cases and 579 controls) were included. There was no statistical difference in recurrence (OR = 1.19, 95% CI: 0.51–2.74), complete response (OR = 0.66, 95% CI: 0.25–1.74), or overall response (OR = 0.63, 95% CI: 0.21–1.87) between the case and control groups. The incidence of complications in the case group was lower than that in the control group (OR = 0.24, 95% CI: 0.08–0.67) and open excision group (OR = 0.11, 95% CI: 0.07–0.19). Publication bias existed for the recurrence index in the open excision group (t = 3.3979, P = .04), but no publication bias was found in other subgroups, indicating stable results.Conclusions:LC, which has fewer complications, can be considered the primary choice in the treatment of patients with bromhidrosis compared with other surgical procedures.

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Excision of Apocrine Glands With Preservation of Axillary Superficial Fascia for the Treatment of Axillary Bromhidrosis

Abstract: The procedure has the advantage of a high success rate in radical elimination of the malodor with minor complications.

Cited by 23 publications

References 10 publications

Fractional microneedling radiofrequency treatment for axillary osmidrosis: A minimally invasive procedure

Fractional microneedling radiofrequency treatment for axillary osmidrosis: A minimally invasive procedure

Safety and efficacy of surgical treatments for axillary osmidrosis: a retrospective cohort study comparing conventional open excision with cartilage-shaver closed curettage

The curative effect of liposuction curettage in the treatment of bromhidrosis

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