액취증에서 투메슨트와 최소절개를 통한 피하조직 절제술의 치료 효과 = Treatment Effect of Subdermal Excision with Tumescent and Minimal Skin Excision for Axillary Osmidrosis

다국어 초록 (Multilingual Abstract)

Purpose: Axillary osmidrosis is a condition of abnormal unpleasant body odor caused mostly by apocrine gland secretion. Surgical excision of the subcutaneous tissue has been the treatment of choice for several decade. However, there are risks for complications including wound necrosis, hematoma, seroma, obvious scars following surgical treatment. We report our method of treatment of subdermal excision with small skin incision under local anesthesia with tumescent infiltration.
Methods: From December 2008 to August 2010, 33 consecutive patients underwent subdermal excision with small transverse incision under tumescent anesthesia for axillary osmidrosis. The average age of the patients was 22 years (range, 13 to 62 years) and the average follow-up period was 7.6 months (range, 3 to 22 months).
Result: Through a questionnaire that was answered by 33 patients, 97% reported satisfactory reduction of malodor. Complication included small hematoma (1.5%) and superficial epidermal necrosis (1.5%) which healed spontaneously. According to the postoperative histologic examination, only a few remnant of apocrine and eccrine glands were found.
Conclusion: The subdermal excision with small incision using tumescent anesthesia for axillary osmidrosis decreases the bleeding during procedure and enables removal of sweat glands easily under direct vision. Therefore this operation has the advantages such as a high success rate, rapid recovery and a low complication and recurrence rate.

목차 (Table of Contents)

• 서론
• 재료 및 방법
• 가. 대상
• 나. 수술방법
• 결과
• 고찰
• 결론
• 참고문헌

참고문헌 (Reference)

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4 박대환, "액취증 재발환자의 치료방법 모색" 대한성형외과학회 31 (31): 506-512, 2004

5 이정우, "가계도 분석을 통한 액취증 유전 경향에 대한 연구" 대한성형외과학회 35 (35): 565-568, 2008

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18 Ha SU, "A Comparative Evaluation of Various Axillary Osmidrosis Treatment" 10 : 84-90, 2004