Skip to main content
Log in

Dermatochirurgische Therapie der Hyperhidrose

Dermatosurgical therapy of hyperhidrosis

  • Leitthema
  • Published:
Der Hautarzt Aims and scope Submit manuscript

Zusammenfassung

Unter den verschiedenen Formen der fokalen Hyperhidrose ist die axilläre Hyperhidrose mittels dermatochirurgischer Methoden therapierbar. Die historische Entwicklung der Methoden wird aufgezeigt und spiegelt das Bestreben wider, mit möglichst geringer Radikalität einen maximalen Effekt zu erzielen. Der aktuelle Stellenwert und die Indikation der einzelnen Methoden werden anhand der vorliegenden Studiendaten aufgezeigt.

Abstract

Among the various forms of focal hyperhidrosis, axillary hyperhidrosis is treatable by dermatologic surgery. The historical development of the methods is presented and reflects the desire to achieve maximum effect with minimum tissue defects. The current status and the indications of the individual methods are demonstrated in study data.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Abb. 1
Abb. 2
Abb. 3
Abb. 4
Abb. 5
Abb. 6
Abb. 7
Abb. 8
Abb. 9
Abb. 10
Abb. 11

Literatur

  1. Achenbach R (2004) Hyperhidrosis. Physiologisches und krankhaftes Schwitzen in Diagnose und Therapie. Steinkopff, Darmstadt

  2. Bechara FG (2009) Aktuelle Therapie der fokalen Hyperhidrose. Hautarzt 60:538–545

    Article  PubMed  CAS  Google Scholar 

  3. Bechara FG (2013) Chirurgische Therapieverfahren der fokalen axillären Hyperhidrose. In: Heimburg D von, Lemperle G (Hrsg) Ästhetische Chirurgie. Ecomed Medizin, Landsberg am Lech

  4. Bretteville-Jensen G (1973) Radical sweat gland ablation for axillary hyperhidrosis. Br J Plast Surg 26:159

    Google Scholar 

  5. Coleman WP 3rd, Lillis PJ (1990) Liposuction for treatment of axillary hyperhidrosis. Dermatol Clin 8:479–482

    PubMed  Google Scholar 

  6. Gillespie JA, Kane SP (1970) Evaluation of a simple surgical treatment of axillary hyperhidrosis. Br J Dermatol 83:684–689

    Article  PubMed  CAS  Google Scholar 

  7. Goldman A, Wollina U (2008) Subdermal Nd-YAG laser for axillary hyperhidrosis. Dermatol Surg 34:756–762

    Article  PubMed  CAS  Google Scholar 

  8. Hagedorn M, Neukirch S, Hasche E (2000) Operative Therapie im intertriginösen Bereich: Acne inversa und Hyperhidrosis axillaris. In: Plewig G, Degitz K (Hrsg) Fortschritte der Praktischen Dermatologie. Springer, Berlin, S 265–269

  9. Hartmann M, Petres J (1978) Operative Therapie der Hyperhidrosis axillaris. Hautarzt 29:82–85

    PubMed  CAS  Google Scholar 

  10. Hasche E, Hagedorn M, Sattler G (1997) Subcutaneous sweat gland suction curettage in tumescent local anesthesia in hyperhidrosis axillaris. Hautarzt 48:817–819

    Article  PubMed  CAS  Google Scholar 

  11. Hurley HJ, Shelley WB (1966) Axillary hyperhidrosis. Clinical features and lokal surgical management. Br J Dermatol 78:127–140

    Article  Google Scholar 

  12. Ichikawa K, Miyasaka M, Aikawa Y (2006) Subcutaneous laser treatment of axillary osmidrosis: a new technique. Plast Reconstr Surg 118:170–174

    PubMed  CAS  Google Scholar 

  13. Jemec B (1975) Abrasio axillae in hyperhidrosis. Scand J Plast Reconstr Surg 9:44

    Article  PubMed  CAS  Google Scholar 

  14. Kim IH, Seo SL, Oh CH (1999) Minimally invasive surgery for axillary osmidrosis: combined operation with CO2 laser and subcutaneous tissue remover. Dermatol Surg 25:875–879

    Article  PubMed  CAS  Google Scholar 

  15. Lawrence CM, Lonsdale Eccles AA (2006) Selective sweat gland removal with minimal skin excision in the treatment of axillary hyperhidrosis: a retrospective clinical and histological review of 15 patients. Br J Dermatol 155:115–118

    Article  PubMed  CAS  Google Scholar 

  16. Lillis PJ, Coleman WP 3rd (1990) Liposuction for treatment of axillary hyperhidrosis. Dermatol Clin 8:479–482

    PubMed  CAS  Google Scholar 

  17. Park DH, Kim TM, Han DG et al (1998) A comparative study of the surgical treatment of axillary osmidrosis by instrument, manual, and combined subcutaneous shaving procedures. Ann Plast Surg 41:488–497

    Article  PubMed  CAS  Google Scholar 

  18. Park JH, Cha SH, Park SD (1997) Carbon dioxide laser treatment vs subcutaneous resection of axillary osmidrosis. Dermatol Surg 23:247–251

    PubMed  CAS  Google Scholar 

  19. Park S (2000) Very superficial ultrasound-assisted lipoplasty for the treatment of axillary osmidrosis. Aesthetic Plast Surg 24:275–279

    Article  PubMed  CAS  Google Scholar 

  20. Payne CM, Doe PT (1998) Liposuction for axillary hyperhidrosis. Clin Exp Dermatol 23:9–10

    Article  PubMed  CAS  Google Scholar 

  21. Proebstle TM, Schneiders V, Knop J (2002) Gravimetrically controlled efficacy of subcorial curettage: a prospective study for treatment of axillary hyperhidrosis. Dermatol Surg 28:1022–1026

    Article  PubMed  CAS  Google Scholar 

  22. Rapprich S, Pietschmann J, Hasche E et al (2004) Lokale operative Therapie der Hyperhidrosis axillaris. In: Plewig G, Kaudewitz P, Sander CA (Hrsg) Fortschr prakt Dermatol u. Venerol. Springer, Berlin, S 377–396

  23. Rompel R, Peros I, Petres J (1997) Subcutane Curettage für die Behandlung von axillärer Hyperhidrosis. Eur J Dermatol 7:43–46

    Google Scholar 

  24. Salfeld K (1978) Operative Behandlung der Hyperhidrosis axillaris. Therapie Gegenwart 117:183–201

    CAS  Google Scholar 

  25. Salfeld K (1973) Schweißdrüsenoperationen bei Hyperhidrosis axillaris. Fortschr Prakt Derm Venerol 1973:272–276

    Article  Google Scholar 

  26. Shenaq SM, Spira M, Christ J (1987) Treatment of bilateral axillary hyperhidrosis by suction-assisted lipolysis technique. Ann Plast Surg 19:548–551

    Article  PubMed  CAS  Google Scholar 

  27. Skoog T, Thyresson N (1962) Hyperhidrosis of the axillae. Acta Chir Scand 124:531–538

    PubMed  CAS  Google Scholar 

  28. Tipton JB (1968) Axillary hyperhidrosis and its surgical treatment. Plast Reconstr Surg 42:137–140

    Article  PubMed  CAS  Google Scholar 

  29. Wörle B, Rapprich S, Heckmann M (2007) Definition and treatment of primary hyperhidrosis. J Dtsch Dermatol Ges 5:625–628

    Article  PubMed  Google Scholar 

Download references

Einhaltung ethischer Richtlinien

Interessenkonflikt. S. Rapprich gibt an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to S. Rapprich.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rapprich, S. Dermatochirurgische Therapie der Hyperhidrose. Hautarzt 64, 577–584 (2013). https://doi.org/10.1007/s00105-013-2544-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00105-013-2544-y

Schlüsselwörter

Keywords

Navigation