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A simple and practical method for axillary osmidrosis resection
Journal of Plastic, Reconstructive & Aesthetic Surgery (2010) 63, e420ee421
CORRESPONDENCE AND COMMUNICATION A simple and practical method for axillary osmidrosis resection Axillary osmidrosis (AO) is characterized by an excessive, unpleasant odor that originates from the apocrine glands in the axillary area.1 The purpose of treatment is to eradicate the apocrine glands with minimal effect on the appearance
Figure 1
of the axillary area. While many new techniques have proven effective (e.g., laser, suction-assisted liposuction), their application is limited by the need for specialized instrumentation. Here we present a simple, practical and radical surgical method based on limited incision.2 First, the area to be undermined is marked and an incision line of 2 cm is cut into the subdermal fat tissue. We evert the flap strongly with index finger, dragging the skin flap with two
Procedure of apocrine gland removal through limited incision and marginal scraping of the axillary osmidrosis.
1748-6815/$ - see front matter ª 2009 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. doi:10.1016/j.bjps.2009.11.012
Correspondence and communication mosquito forceps to expose the glands sufficiently. And the mosquito forceps is good at exposing the glands in the marginal area of the flap through the narrow incision, especially in the patient with large area of apocrine glands. Then, the flap is defatted and the glands resected with eye scissors. To ensure complete removal, we scrape the distant pole of the flap with a curette to avoid blind spots. Finally, the incision is closed with 3-0 silk suture. For drainage, we make five to eight incisions 3 mm long for drainage, and make suture lines around the surgical area for a bolus dressing to close the wound (Figure 1).
Conflict of Interest None.
Funding None.
e421
References 1. Kao TH, Pan HC, Sun MH, et al. Upper thoracic sympathectomy for axillary osmidrosis or bromidrosis. J Clin Neurosci 2004;11: 719e22. 2. Qian JG, Wang XJ. Radical treatment of axillary osmidrosis by subdermal excision of apocrine glands: a prospective study in 31 cases. J Plast Reconstr Aesthet Surg 2006;59: 860e4.
Xiaowei Liu Tongchun Mao Zeyuan Lei Dongli Fan Department of Plastic and Aesthetic Surgery, Xinqiao Hospital, Third Military Medical University, No 1Xinqiaozheng Street, Shapingbe District, Chongqing, China E-mail address: [email protected]
CORRESPONDENCE AND COMMUNICATION A simple and practical method for axillary osmidrosis resection Axillary osmidrosis (AO) is characterized by an excessive, unpleasant odor that originates from the apocrine glands in the axillary area.1 The purpose of treatment is to eradicate the apocrine glands with minimal effect on the appearance
Figure 1
of the axillary area. While many new techniques have proven effective (e.g., laser, suction-assisted liposuction), their application is limited by the need for specialized instrumentation. Here we present a simple, practical and radical surgical method based on limited incision.2 First, the area to be undermined is marked and an incision line of 2 cm is cut into the subdermal fat tissue. We evert the flap strongly with index finger, dragging the skin flap with two
Procedure of apocrine gland removal through limited incision and marginal scraping of the axillary osmidrosis.
1748-6815/$ - see front matter ª 2009 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. doi:10.1016/j.bjps.2009.11.012
Correspondence and communication mosquito forceps to expose the glands sufficiently. And the mosquito forceps is good at exposing the glands in the marginal area of the flap through the narrow incision, especially in the patient with large area of apocrine glands. Then, the flap is defatted and the glands resected with eye scissors. To ensure complete removal, we scrape the distant pole of the flap with a curette to avoid blind spots. Finally, the incision is closed with 3-0 silk suture. For drainage, we make five to eight incisions 3 mm long for drainage, and make suture lines around the surgical area for a bolus dressing to close the wound (Figure 1).
Conflict of Interest None.
Funding None.
e421
References 1. Kao TH, Pan HC, Sun MH, et al. Upper thoracic sympathectomy for axillary osmidrosis or bromidrosis. J Clin Neurosci 2004;11: 719e22. 2. Qian JG, Wang XJ. Radical treatment of axillary osmidrosis by subdermal excision of apocrine glands: a prospective study in 31 cases. J Plast Reconstr Aesthet Surg 2006;59: 860e4.
Xiaowei Liu Tongchun Mao Zeyuan Lei Dongli Fan Department of Plastic and Aesthetic Surgery, Xinqiao Hospital, Third Military Medical University, No 1Xinqiaozheng Street, Shapingbe District, Chongqing, China E-mail address: [email protected]