Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam-si 13620, Republic of Korea.
Department of Plastic and Reconstructive Surgery, Inje University College of Medicine, Inje University Busan Paik Hospital, Busan 47392, Republic of Korea.
Medicina (Kaunas). 2024 Jul 17;60(7):1151. doi: 10.3390/medicina60071151.
The 1444 nm wavelength Neodymium:Yttrium-Aluminum-Garnet (Nd:YAG) laser treatment is an efficient method for treating axillary osmidrosis (AO); however, it has a relatively low treatment persistence. To address this issue, we performed integrated liposuction surgery with a laser to treat AO and compared the results with those of a group treated only with a laser. This study compared the outcomes of AO treatment between the two groups up to six months postoperatively. The first group of 18 patients underwent laser treatment alone, and the second group of 12 patients underwent integrated liposuction surgery in addition to laser treatment. Outcomes were assessed using the following variables: degree of malodor (DOM), sweating area, patient satisfaction, pain levels, and complications, such as burns, swelling, and contractures. : Compared to the laser-only group, the integrated liposuction group demonstrated significantly superior outcomes in terms of DOM ( = 0.002) and patient satisfaction ( = 0.006), as well as a reduction in the sweating area ( = 0.012). The pain rating was higher in the liposuction group, but the difference was not statistically significant ( = 0.054). Compared with the patients in the integrated liposuction treatment group, those in the laser treatment group exhibited a significantly higher number of burns under the axillae ( = 0.025). However, no significant differences were observed in the swelling or contracture between the groups. : Integrated liposuction with laser therapy significantly improved treatment outcomes, including malodor, patient satisfaction, sweat test results, and decreased complication rates.
1444nm 波长钕：钇铝石榴石（Nd:YAG）激光治疗是治疗腋臭（AO）的有效方法；然而，它的治疗持久性相对较低。为了解决这个问题，我们对腋臭患者同时进行吸脂术和激光治疗，并将结果与单纯激光治疗的患者进行比较。本研究比较了两组患者术后 6 个月内的腋臭治疗结果。第一组 18 例患者仅接受激光治疗，第二组 12 例患者除激光治疗外还接受吸脂术。采用以下变量评估结果：臭味程度（DOM）、出汗面积、患者满意度、疼痛程度和并发症（如烧伤、肿胀和挛缩）。与单纯激光组相比，吸脂术联合激光组在 DOM（ = 0.002）和患者满意度（ = 0.006）方面的效果显著更好，且出汗面积减少（ = 0.012）。吸脂组的疼痛评分较高，但差异无统计学意义（ = 0.054）。与吸脂治疗组患者相比，激光治疗组患者腋下烧伤的发生率明显更高（ = 0.025）。然而，两组间肿胀或挛缩无显著差异。结论：吸脂术联合激光治疗可显著改善治疗效果，包括臭味、患者满意度、出汗试验结果，并降低并发症发生率。
