Efficacy of one-incision remoual of axillary apocrine glands in children and adult patients with axillary osmidrosis: a comparative analysis
10.3760/cma.j.issn.1671-0290.2023.02.014
- VernacularTitle:单切口腋下顶泌汗腺切除术治疗未成年与成年臭汗症患者效果比较
- Author:
Rui HE
1
;
Changqing ZHOU
;
Zhengkui ZHANG
Author Information
1. 北京大学第一医院整形烧伤外科，北京 100034
- Keywords:
Bromidrosis;
Comparative effectiveness research;
Children;
Surgery;
Treatment outcome;
Follow-up
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2023;29(2):134-137
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the safety and efficacy of single incision apocrine gland excision in the treatment of children and adult patients with axillary osmidrosis.Methods:Medical records and follow-up results were reviewed for 164 patients who underwent surgical treatment in our department by the same surgeon from January 2013 to December 2016. There were 54 males and 110 females, aged 8-61 years. with a median age of 22 years. The patients were divided into the children group ( n=31) and the adults group ( n=133), and differences between the two groups were compared. Results:The end point of follow-up was December 2019, the cure and overall satisfaction rates in the third year after surgery were 77.6% (125/161) and 88.2% (142/161) for the total population, including 87.5% (27/31) and 93.5% (29/31) for the children, respectively. There were no significantly differences in the cure rate, scar, pigmentation and the patients' satisfaction between two groups during the follow-up. The cure rate, significantly improved rate and satisfaction rate in patients who became adult during the follow-up were 80.0% (20/25), 92.0% (23/25) and 96.0% (24/25), respectively.Conclusions:Single incision apocrine gland excision could be performed for children patients. Our procedure is safe, reliable and consistant, and worthy of clinical application.
