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

Abstract

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.

Axillary Osmidrosis Treatment Using an Aggressive Suction–Curettage Technique: A Clinical Study on Paired Control

“…Besides, skin condition [11] and surgical experience [15] may all be factors affecting the results of the removal of the apocrine glands. It is also necessary to inform the patients and emphasize that the procedure can only alleviate the malodor but not eliminate it.…”

“…A large series of studies from Korea has established it as a safe and effective surgical treatment for osmidrosis [5][6][7][8]. However, the recurrence rate after treatment and effectiveness of suction-curettage remains contraversial [9][10][11]. Since 2009, our center has introduced the axillary suction-curettage technique as a treatment option and has performed the procedure on 65 patients.…”

Aktuelle Therapie der fokalen Hyperhidrose

“…Die superfizielle Liposuktion mit stumpfen Kanü-len wurde erstmals im Jahr 1987 in einem Fallbericht von Shenaq [31] beschrieben. Seitdem sind einige kleinere nicht kontrollierte Studien erschienen, die über positive Erfahrungen mit der Liposuktion (konventionell oder ultraschallassistiert) bei axillärer Hyperhidrose berichten [23,24,26,34]. Bei geringer Nebenwirkungsrate scheint die Effektivität jedoch verglichen mit dem manuellen Shaving und der Schweißdrüsen-Saugkürettage geringer zu sein [25].…”

Schweißdrüsensaugkürettage bei Hyperhidrosis axillaris

“…In diversen Studien hat sich gezeigt, dass die Absaugung oder die Kürettage jeweils allein bereits sehr gut wirksam sind, die Kombination aus beiden jedoch eindeutig bessere Ergebnisse liefert [16,21].…”