Treatment of bromhidrosis by cutting off the apocrine glands under direct vision combined with micro electrocoagulation
10.3760/cma.j.cnZHZXWKZZ-2018-0804-00336
- VernacularTitle:直视下剪除联合微电凝破坏顶泌汗腺治疗腋臭
- Author:
Leilei CHEN
1
;
Yihan WANG
;
Chaojie JIN
;
Zhaoyang SHI
;
Cheng WU
;
Xingqun ZHANG
;
Yi YAO
Author Information
1. 杭州市余杭区第一人民医院手外整形科，杭州 311000
- Keywords:
Minimally invasive surgery;
Apocrine glands;
Bromhidrosis
- From:
Chinese Journal of Plastic Surgery
2020;36(3):304-307
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the efficacy of treatment of bromhidrosis by cutting off the apocrine glands under direct vision combined with micro electrocoagulation.Methods:From January 2017 to December 2017, 25 patients (50 sides) with axillary osmidrosis admitted to the First People’s Hospital of Yuhang District were treated with direct vision cutting and micro electrocoagulation to destroy the apocrine sweat glands, including 13 males and 12 females, aged 14-38 years, with an average age of 23 years. According to Young-Jin Park′s criteria for judging axillary osmidrosis, 21 cases were classified as grade 3 and 4 cases as grade 2. After tumescent anesthesia, the subcutaneous apocrine sweat glands, fat and hair follicles were cut off under direct vision. The subdermal vascular network was preserved, and the basement was destroyed one by one by using high-frequency electrocoagulation mode. After the operation, the evaluation was conducted according to the criteria for judging axillary osmidrosis formulated by Young-Jin Park.Results:The symptoms of axillary osmidrosis reached the standard of cure in 24 patients after operation, 1 case failed to reach the cure standard. Among the patients who reached the standard, there were 2 cases of necrosis of the skin flap and 1 case of hematoma after operation unilaterally, which were given actively dressing change, secondary debridement, suturing and hematoma removal, The follow-up period was 6 months to 1 year. During the follow-up period, 24 cases were cured, including 21 cases of grade one and 3 cases of grade zero. The treatment effect was stable.Conclusions:The treatment of axillary osmidrosis by cutting off the apocrine sweat glands under direct vision combined with micro electrocoagulation, exposing the apocrine sweat glands as much as possible, effectively removing the apocrine sweat glands and hair follicles, and reducing the recurrence rate of axillary osmidrosis. It is a simple, safe and effective treatment technology for axillary osmidrosis.
