Dai Yeqin, Xu Ai-E, He Junhua
Department of Dermatology, Third People's Hospital of Hangzhou, Affiliated Third Hospital of Hangzhou, Anhui Medical University, Hangzhou Institute of Dermatology and Venereology, Hangzhou, China.
Dermatol Ther. 2017 May;30(3). doi: 10.1111/dth.12484. Epub 2017 Mar 6.
Axillary bromhidrosis has a strong negative effect on one's social life. A high success rate and few complications are criteria for a surgical treatment. The objective of this study was to evaluate a new surgical treatment modality for bromhidrosis: subcutaneous scissor with micropore. Twenty patients with bromhidrosis were treated. Patients were placed in a supine position with their treated arms abducted to 110°. After injection of 60 mL of tumescent solution into each axilla, one small incision was made at the middle axillary of the hair-bearing area. The whole hair-bearing skin was undermined at the level of the superficial fat to obtain adequate skin eversion. The flaps were everted to offer full exposure of the apocrine glands, and meticulous excision of each gland was performed. Both sides were punctured with scalpel. The micropore was used for drainage, and whose width was just 3 mm. Finally, the incisions were re-approximated, and bulky compressive dressings were applied to the area for 72 hours. Of the 40 axillae (20 patients), 34 (85.0%) showed excellent results, and six (15.0%) had good results. Malodor was significantly decreased. There were no serious complications. This technique can produce excellent results with a lower complication rate than most other surgical modalities and can be performed without costly equipment.
腋窝臭汗症对人的社交生活有很大的负面影响。手术治疗的标准是成功率高且并发症少。本研究的目的是评估一种治疗臭汗症的新手术方式：带微孔的皮下剪刀法。对20例臭汗症患者进行了治疗。患者仰卧，患侧手臂外展至110°。在每个腋窝注射60 mL肿胀液后，在有毛发区域的腋窝中部做一个小切口。在浅脂肪层对整个有毛发的皮肤进行潜行分离，以使皮肤充分外翻。将皮瓣外翻以充分暴露顶泌汗腺，并对每个腺体进行细致切除。两侧用手术刀穿刺。使用宽度仅为3 mm的微孔进行引流。最后，将切口重新缝合，并对该区域施加厚敷料压迫72小时。在40个腋窝（20例患者）中，34个（85.0%）效果极佳，6个（15.0%）效果良好。异味明显减轻。无严重并发症。该技术能产生极佳的效果，并发症发生率低于大多数其他手术方式，且无需昂贵设备即可实施。
