Modified Suction-Assisted Cartilage Shaver for Axillary Osmidrosis
Joint Authors
Lin, Shang-Hung
Tseng, Yu-Ju
Lee, Chih-Hung
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-05-08
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Apocrine osmidrosis (AO) is a chronic, recurrent, and disturbing disease characterized by malodorous secretion from apocrine glands.
Despite various conservative and nonsurgical treatments, surgical removal of apocrine glands remains the cornerstone for AO treatment.
Conventional suction-assisted cartilage shaver is effective; however, there are several risks and complications.
Hence, we modified the conventional method to achieve better effectiveness and reduce complications.
This paper aims to evaluate the clinical effectiveness and the complications arising from the modified suction-assisted cartilage shaver for AO.
Thirty-nine patients (M/F=11/28, average age 26.3 years) received this surgical treatment for AO from 2013 to 2017 in the Department of Dermatology at Kaohsiung Chang Gung Memorial Hospital, Taiwan.
A suction-assisted cartilage shaver was introduced for the ultimate removal of the subcutaneous tissue containing the apocrine glands.
A 0.5 cm incision was made in the center of the identified elliptical surgical area at each axilla.
After defatting, the incision was closed primarily.
The defatting skin was anchored to the axillary fascia by using 4-0 sutures without drains.
We then evaluated the clinical efficacy and complications.
The mean duration of follow-up was 31.8 months (12–68 months).
Among patients receiving the modified cartilage shaving for AO, 92.3% achieved excellent-to-good results, 5.1% had acceptable results, and 2.6% had fair results.
None of them experienced poor clinical efficacy.
There was no skin necrosis, hematoma, nor wound infection after the surgery.
There were no recurrences in all these patients 2 years after the surgery.
This modified suction-assisted cartilage shaver for AO results in good efficacy, a low complication rate, and a low recurrence rate.
The method is superior to the conventional one due to tissue glue-free procedure, greater comfort in postoperative care, minimal wounds, less hematoma, and less skin necrosis.
The clinical study registration number of this study is NCT03793374.
American Psychological Association (APA)
Tseng, Yu-Ju& Lee, Chih-Hung& Lin, Shang-Hung. 2019. Modified Suction-Assisted Cartilage Shaver for Axillary Osmidrosis. BioMed Research International،Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1127226
Modern Language Association (MLA)
Tseng, Yu-Ju…[et al.]. Modified Suction-Assisted Cartilage Shaver for Axillary Osmidrosis. BioMed Research International No. 2019 (2019), pp.1-7.
https://search.emarefa.net/detail/BIM-1127226
American Medical Association (AMA)
Tseng, Yu-Ju& Lee, Chih-Hung& Lin, Shang-Hung. Modified Suction-Assisted Cartilage Shaver for Axillary Osmidrosis. BioMed Research International. 2019. Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1127226
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1127226