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

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Abstract

Background

Axillary osmidrosis results in social and psychological problems. Liposuction-assisted techniques used as treatments have been reported to have high recurrence rates. This study aims at introducing the aggressive suction–curettage technique in comparison to the open excision procedure.

Methods

From February 2009 to February 2014, 130 patients were randomly divided into two groups (experimental and control groups). The experimental group was treated with aggressive suction–curettage, while the control group was treated with an open excision. Postoperative assessment (skin necrosis, hematoma, scars and malodour recurrence) and patient satisfaction were surveyed and analyzed.

Results

A lower necrosis rate was observed in patients who received aggressive suction–curettage (1.88 %, p < 0.01), higher patient satisfaction (33.85 %, p < 0.01), higher recurrence rate (11.54 %, p < 0.05), and less ugly scars (0.77 %, p < 0.01), compared to those who had the open excision procedure.

Conclusions

The aggressive suction–curettage technique appears to be a reliable treatment option for axillary osmidrosis.

Level of Evidence II

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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References

  1. Hamm H, Naumann MK, Kowalski JW, Kutt S, Kozma C, Teale C (2006) Primary focal hyperhidrosis: disease characteristics and functional impairment. Dermatology 212:343–353

    Article  PubMed  Google Scholar 

  2. Bechara FG, Gambichler T, Bader A, Sand M, Altmeyer P, Hoffmann K (2007) Assessment of quality of life in patients with primary axillary hyperhidrosis before and after suction-curettage. J Am Acad Dermatol 57:207–212

    Article  PubMed  Google Scholar 

  3. Jeong JH, Hong JM, Pak CS, Kim JH, Heo CY (2014) Treatment of axillary osmidrosis using a laser with a 1444-nm wavelength. Dermatol Surg 40:851–857

    CAS  PubMed  Google Scholar 

  4. Xie A, Nie L, Tan Q (2014) Local injection of botulinum toxin A: an alternative therapy for axillary osmidrosis. J Dermatol 41:153–156

    Article  CAS  PubMed  Google Scholar 

  5. Tsai RY, Lin JY (2001) Experience of tumescent liposuction in the treatment of osmidrosis. Dermatol Surg 27:446–448

    CAS  PubMed  Google Scholar 

  6. Lee D, Cho SH, Kim YC et al (2006) Tumescent liposuction with dermal curettage for treatment of axillary osmidrosis and hyperhidrosis. Dermatol Surg 32:505–511

    CAS  PubMed  Google Scholar 

  7. Kim WO, Song Y, Kil HK, Yoon KB, Yoon DM (2008) Suction-curettage with combination of two different cannulae in the treatment of axillary osmidrosis and hyperhidrosis. J Eur Acad Dermatol Venereol 22:1083–1088

    Article  CAS  PubMed  Google Scholar 

  8. Kim HG (2014) A new osmidrosis procedure, the scrape and suction technique: review of 4,322 patients. Aesthet Plast Surg 38:282–287

    Article  Google Scholar 

  9. Huang YH, Yang CH, Chen YH, Chen CH, Lee SH (2010) Reduction in osmidrosis using a suction-assisted cartilage shaver improves the quality of life. Dermatol Surg 36:1573–1577

    Article  CAS  PubMed  Google Scholar 

  10. Liu Q, Zhou Q, Song Y, Yang S, Zheng J, Ding Z (2010) Surgical subcision as a cost-effective and minimally invasive treatment for axillary osmidrosis. J Cosmet Dermatol 9:44–49

    Article  PubMed  Google Scholar 

  11. Perng CK I, Yeh FL, Ma H, Lin JT, Hwang CH, Shen BH, Chen CH, Fang RH (2004) Is the treatment of axillary osmidrosis with liposuction better than open surgery? Plast Reconstr Surg 114:93–97

    Article  Google Scholar 

  12. Grazer FM (1992) A noninvasive surgical treatment of axillary hyperhidrosis. Clin Dermatol 10:357–364

    Article  CAS  PubMed  Google Scholar 

  13. Beer GM, Baumüller S, Zech N, Wyss P, Strasser D, Varga Z, Seifert B, Hafner J, Mihic-Probst D (2006) Immunohistochemical differentiation and localization analysis of sweat glands in the adult human axilla. Plast Reconstr Surg 117:2043–2049

    Article  CAS  PubMed  Google Scholar 

  14. Lee YJ, Suh MS, Lee JH, Park JW, Cho BC, Baik BS (2001) Combination treatment of osmidrosis by liposuction and endoscopic shaver. Korean Soc Plast Reconstr Surg 28:517–521

    Google Scholar 

  15. Bechara FG, Sand M, Hoffmann K (2007) Tumescent liposuction with dermal curettage for treatment of axillary osmidrosis and hyperhidrosis. Dermatol Surg 33:125

    CAS  PubMed  Google Scholar 

  16. Kao TH, Pan HC, Sun MH, Chang CS, Yang DY, Wang YC (2004) Upper thoracic sympathectomy for axillary osmidrosis or bromidrosis. J Clin Neurosci 11:719–722

    Article  PubMed  Google Scholar 

  17. Hsu CP, Shia SE, Hsia JY, Chuang CY, Chen CY (2001) Experiences in thoracoscopic sympathectomy for axillary hyperhidrosis and osmidrosis: focusing on the extent of sympathectomy. Arch Surg 136:1115–1117

    Article  CAS  PubMed  Google Scholar 

  18. Hsia JY, Chen CY, Hsu CP, Shai SE, Yang SS, Chuang CY (2003) Outpatient thoracoscopic sympathicotomy for axillary osmidrosis. Eur J Cardiothorac Surg 24:425–427

    Article  PubMed  Google Scholar 

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Acknowledgments

This project was supported by Grants from Zhejiang Provincial Natural Science Foundation (Grant No. Y2110414), and Zhejiang Provincial Department of Health Project (Grant No. 2014KYB090).

Conflict of interest

The authors declare that they have no conflicts of interest to disclose.

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Authors and Affiliations

  1. First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China

    Cui Wang, Huiling Wu, Feiya Du, Shujun Le & Shusen Zheng

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  1. Cui Wang
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  2. Huiling Wu
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  3. Feiya Du
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  4. Shujun Le
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  5. Shusen Zheng
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Correspondence to Shusen Zheng.

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Wang, C., Wu, H., Du, F. et al. Axillary Osmidrosis Treatment Using an Aggressive Suction–Curettage Technique: A Clinical Study on Paired Control. Aesth Plast Surg 39, 608–615 (2015). https://doi.org/10.1007/s00266-015-0490-z

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  • DOI: https://doi.org/10.1007/s00266-015-0490-z

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