KMID : 0363220150530070523
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Korean Journal of Dermatology 2015 Volume.53 No. 7 p.523 ~ p.529
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Comparison between Conventional and Modified Superficial Liposuction Techniques in the Treatment of Axillary Osmidrosis
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Nam Sang-Ho
Lee Jin-Yong Kim Sang-Seok Kim Chul-Woo Min Hyeong-Geun
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Abstract
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Background: Axillary osmidrosis is caused by abnormal apocrine glands. Although various treatment modalities have been developed for axillary osmidrosis, there have not been sufficient studies to establish a treatment guideline.
Objective: This study aimed to evaluate the efficacy, safety, and disease recurrence rate of treatment by superficial liposuction with dermal curettage using Fatemi cannula to the level of the dermal-subcutaneous junction (modified technique) compared to dermal curettage to the level of the mid-dermis (conventional technique).
Methods: Fifty-two patients (104 axillae) underwent the modified technique and 54 patients (108 axillae) underwent the conventional technique from April 2007 to September 2014. The patients¡¯ demographic data, clinical efficacy of each treatment as evaluated using subjective satisfaction scales, postoperative complications, and recurrence rates were retrospectively reviewed, and procedures compared.
Results: Excellent to good outcomes were reported in 46 patients (88.5%) who underwent the modified technique and 50 patients (92.6%) who underwent the conventional technique. Recurrence occurred in 12.5% (13/104) of axillae in patients who underwent the modified technique, and 9.3% (10/108) of axillae in patients who underwent the conventional technique. There was no statistically significant difference in clinical efficacy, safety, or recurrence rates between the two techniques (p£¾0.05). Skin necrosis was significantly lower using the modified technique (p=0.017).
Conclusion: Our study found that clinical results of the modified technique were comparable with those of the conventional technique. The modified technique is a convenient treatment for axillary osmidrosis, with high efficacy and low disease recurrence.
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KEYWORD
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Axillary Osmidrosis, Superficial liposuction, Curettage
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