J Korean Med Assoc.  2005 Jul;48(7):653-662. 10.5124/jkma.2005.48.7.653.

Surgical Treatment of Axillary Osmidrosis

• Ahn SY

• KMID: 2183594
• DOI: http://doi.org/10.5124/jkma.2005.48.7.653

Abstract

Axillary osmidrosis, also referred to as bromhidrosis, is a condition of excess, abnormal, or strong acrid body odor that typically manifests itself after puberty with the enlargement of apocrine glands. This condition often causes the affected to avoid social settings and personal relationships particularly throughout puberty and into adult life. The surgical objectives for treating axillary osmidrosis are to eliminate malodor and postoperative recurrence, to reduce significant complications such as hematoma and skin flap necrosis causing scarring, to decrease the recovery time, and to reduce the surgical scars. In order to meet the objectives, I recommend to use three surgical methods such as subdermal shaving method with scissors, liposuction and curettage method, and curettage and dermal shaving with manual and electric bone rasp. The subdermal shaving method demands the surgeon to execute meticulous hemostasis in the central axilla. Quilting sutures should be placed to fixate the skin flap to the axillary base to further prevent hematoma and to shorten recovery time. A relatively simple pressure dressing is removed after a couple of days, which will allow the patients to resume their routine daily life. Liposuction and curettage method is used to remove the apocrine glands in the subcutaneous layer. Apocrine and eccrine glands in the lower dermis are removed by dermal shaving with a manual or electric bone rasp or by a suction assisted cartilage shaver.

Keyword

Axillary osmidrosis; Apocrine gland; Liposuction; Curettage; Dermal shaving

MeSH Terms

Adolescent
Adult
Apocrine Glands
Axilla
Bandages
Cartilage
Cicatrix
Curettage
Dermis
Eccrine Glands
Hematoma
Hemostasis
Humans
Lipectomy
Necrosis
Odors
Puberty
Recurrence
Skin
Suction
Sutures

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Reference

4. Fan YM, Wa ZH, Li SF, Chen QX. Axillary osmidrosis treated by partial removal of the skin and subcutaneous tissue en bloc and apocrine gland subcision. Dermat Surg. 2001. 40:714–716.

7. Lee JC, Kuo HW, Chen CH, Juan WH, Hong HS, Yang CH. Treatment of axillary osmidrosis with suction assisted cartilage shaver. Brit J Plast Surg. 2005. 58:223–227.