Use of a purse-string suture method and blunt-ended dissector in arthroscopic surgery for axillary osmidrosis

Wong, Lai‐San; Chern, Erick; Yen, Yu-Ta; Wu, Weiming

doi:10.1016/j.dsi.2012.12.004

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…Most of them are targeted at the axillary sweat glands. [6][7][8][9] Microwave-based devices (MiraDry; Miramar Labs, Sunnyvale, CA) are safer to treat AH than surgery. Since 2012, researchers have been working on a device that protects the dermis and epidermis by inhaling and cooling the skin, but destroys sweat glands.…”

Section: Discussionmentioning

confidence: 99%

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Subcutaneous tissue necrosis with fat liquefaction, hematoma, inflammatory mass after microwave‐based treatment for axillary hyperhidrosis

Huang

2022

J of Cosmetic Dermatology

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Axillary hyperhidrosis (AH) and bromhidrosis are common complaints in Asians for consultation in dermatology. A microwave-based device has gradually become a first option option during this decade because of the safety and efficacy both for AH and osmidrosis. Other complications reported are transient median and ulnar neuropathy and brachial plexus injury with sensory and motor dysfunction. We herein report a rare case of subcutaneous tissue necrosis with fat liquefaction, hematoma that occurred after microwave-based treatment. It took 3 weeks for both sides to recover completely. The case prompt us that one pass treatment for the same treatment area and cooling to relieve the pain for 24 h. Appropriate restriction of movement should be emphasized within 1 month after treatment. Moreover, caution is needed when bumps enlarged rapidly. How to cite this article: Zhang B, Huang L. Subcutaneous tissue necrosis with fat liquefaction, hematoma, inflammatory mass after microwave-based treatment for axillary hyperhidrosis.

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Section: Discussionmentioning

confidence: 99%

“…Previous treatment modalities aim to reduce or remove sweat glands such as surgical interventions, botulinum toxin injections, antiperspirants. Most of them are targeted at the axillary sweat glands 6‐9 . Microwave‐based devices (MiraDry; Miramar Labs, Sunnyvale, CA) are safer to treat AH than surgery.…”

Section: Discussionmentioning

confidence: 99%

Subcutaneous tissue necrosis with fat liquefaction, hematoma, inflammatory mass after microwave‐based treatment for axillary hyperhidrosis

Huang

2022

J of Cosmetic Dermatology

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A prospective clinical and histologic study of axillary osmidrosis treated with the microwave-based device

Chang

Chen

Hui

et al. 2015

Dermatologica Sinica

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a b s t r a c tBackground: Microwave-based devices target sweat glands through energy delivery at the dermal esubcutaneous interface. These devices have been approved by the Food and Drug Administration as a noninvasive treatment for axillary hyperhidrosis. Treatment for osmidrosis has only been reported in one preliminary study. Objectives: To investigate the efficacy, safety, and histological changes of the microwave-based devices in treating axillary osmidrosis. Methods: We conducted a prospective study in a tertiary referral center in Taiwan. Patients with axillary osmidrosis were recruited and received two consecutive treatment sessions with a 3-month interval. Skin biopsy was obtained to evaluate histological changes. The efficacy was determined by odor reduction using a patient reported 10-point odor scale. Responders were defined as participants with a reduction of at least 3 points of the Odor-10 score at their 90-day follow-up visit. Results: Seven patients were enrolled. Mean reduction of odor was 61.8%. Six patients met the primary endpoint of odor reduction. Skin biopsy specimens reveled 93% reduction of apocrine glands. Histopathological changes include dermal fibrosis, necrosis of sweat glands, and subcutaneous fat necrosis. Transient swelling, bruise, numbness, lumps, and hypotrichosis were possible side effects. No patient reported disabling side effects. Conclusion: Microwave-based devices are noninvasive and a potential alternative therapeutic modality for axillary osmidrosis treatment.

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Use of a purse-string suture method and blunt-ended dissector in arthroscopic surgery for axillary osmidrosis

Cited by 2 publications

References 12 publications

Subcutaneous tissue necrosis with fat liquefaction, hematoma, inflammatory mass after microwave‐based treatment for axillary hyperhidrosis

Subcutaneous tissue necrosis with fat liquefaction, hematoma, inflammatory mass after microwave‐based treatment for axillary hyperhidrosis

A prospective clinical and histologic study of axillary osmidrosis treated with the microwave-based device

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