Minimally Invasive Surgery for Axillary Osmidrosis Using a Combination of Subcutaneous Tissue Removal and a 1,444-nm Nd:YAG Laser
- Authors
- Lee, Sang Geun; Ryu, Hwa Jung; Kim, Il-Hwan
- Issue Date
- 12월-2014
- Publisher
- KOREAN DERMATOLOGICAL ASSOC
- Keywords
- 1,444-nm Nd:YAG laser; Axillary osmidrosis
- Citation
- ANNALS OF DERMATOLOGY, v.26, no.6, pp.755 - 757
- Indexed
- SCIE
SCOPUS
KCI
- Journal Title
- ANNALS OF DERMATOLOGY
- Volume
- 26
- Number
- 6
- Start Page
- 755
- End Page
- 757
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/96570
- DOI
- 10.5021/ad.2014.26.6.755
- ISSN
- 1013-9087
- Abstract
- Many treatment modalities have been developed for axillary osmidrosis. It is well known that the surgical treatment has the best results. However, there is a high possibility of side effects. The 1,444-nm lipolysis laser has been recently introduced to remove the apocrine glands. So far, subdermal coagulation treatment with a 1,444-nm Nd:YAG laser may be the least invasive and most effective therapy for axillary osmidrosis. However, according to our previous experience, the recurrence rate was 20% similar to 30%. This emphasizes the need for combination of surgical method and non-surgical method and we combined subcutaneous tissue removal and photothermocoagulation with a 1,444-nm Nd:YAG laser. Three patients for bilateral axillary osmidrosis were enrolled. After an incision of about one-third the length of the widest transverse diameter, the apocrine glands were separated from the skin. And then apocrine glands within the marked area were destroyed by irradiation with a 1,444-nm Nd:YAG laser thereafter. All patients exhibited no relapse of axillary osmidrosis and were satisfied with the treatment results. A combination of subcutaneous tissue removal and Interstitial laser photothermocoagulation with a 1,444-nm Nd:YAG laser could be an effective treatment for mild to moderate axillary osmidrosis.
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