Efficacy and safety of fascicular unit extraction in treatment of bromhidrosis
10.3760/cma.j.cn114657-20250601-00112
- VernacularTitle:束状单位提取术治疗腋臭的疗效与安全性分析
- Author:
Qiulin GUO
1
;
Lingling JIA
;
Yufei LI
Author Information
1. 同济大学医学院，上海 200092
- Publication Type:Journal Article
- Keywords:
Apocrine sweat glands;
Bromhidrosis;
Fascicular unit extraction;
Minimally invasive surgery
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2025;31(5):490-495
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the efficacy and safety of fascicular unit extraction (FUE) in treatment of bromhidrosis.Methods:A total of 12 patients (24 sides) with bromhidrosis were retrospectively enrolled from the Department of Plastic Surgery, Shanghai East Hospital, Tongji University, from May 2023 to December 2024. The cohort included 5 males and 7 females, aged 17-37 (28.3±6.1) years. All patients underwent FUE treatment. A trephine with an inner diameter of 1.5 mm was used to extract axillary hair and apocrine gland tissues along the direction of hair follicle units, followed by "8-shaped" elastic bandage compression dressing for fixation. The operation time and wound healing time were recorded. The patients were followed up for 6-12 months. The improvement of bromhidrosis was evaluated using the visual analogue scale (VAS), and the adverse reaction incidence was documented.Results:The operation duration of FUE was (1.5±0.3) h, and the wound healing time was (5.2±1.3) d. All patients completed follow-up. Axillae showed no obvious scars or only scattered pinhead-sized pigmentation. The patients′ preoperative VAS was 8 (8, 8) scores, which decreased significantly to 0 (0, 3) scores at the last postoperative follow-up ( P<0.001). Bromhidrosis resolved completely (VAS: 0) in 14 sides (58.3%), and improved (VAS: 2-3) in 10 sides (41.7%), with no recurrence observed. No patients reported significant intraoperative or postoperative pain, subcutaneous hematoma, flap necrosis, infection, paresthesia, or shoulder mobility limitation. One patient developed an epidermoid cyst 2 months postoperatively, resolved after surgical resection. Conclusion:FUE can be used to treat bromhidrosis with high efficacy and low adverse reaction rates.
