Background: Axillary osmidrosis is a common disease with negative psychosocial impact on patients. Further, many treatment modalities are not sufficient and result in recurrence.
Objective: We aimed to evaluate the effectiveness and safety of using a cartilage shaver in patients with recurrent osmidrosis to remove tightly attached apocrine glands and subdermal scars.
Methods: We retrospectively evaluated 24 patients with secondary axillary osmidrosis who underwent cartilage shaving surgery between January 2013 and May 2022. We analyzed the incidence of complications, including seroma, infection, pigmentation, wound dehiscence, skin necrosis, scarring, shoulder movement limitation, comedones/sebaceous cysts, and nerve injury. Clinical effectiveness was also evaluated.
Results: Excellent or good efficacy with improved malodor was achieved in 24 patients (47 axillae [100%]). Complications were observed in 16 (36.17%) axillae, including hematomas (n = 2), pigmentation (n = 7), skin necrosis (n = 3), and comedones/sebaceous cysts (n = 4); one patient (2.13%) required local debridement. Mean Vancouver Scar Scale scores were markedly low (5.41 to 4.67). Scar tissue did not interfere with the shaving surgery, allowing for successful removal of the apocrine glands.
Conclusions: Secondary osmidrosis treatment using a cartilage shaver system yielded satisfactory and better scar results than the patients' previous treatments.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/SAP.0000000000003703 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Instrumentation Considerations for Calcified Thyroid Cartilage during Chondrolaryngoplasty.
Laryngoscope
February 2025
Mass Eye and Ear, Boston, Massachusetts, U.S.A.
Objective: Chondrolaryngoplasty, also known as thyroid cartilage reduction, alleviates gender dysphoria by reducing the thyroid cartilage to conform to a patient's gender identity. Reduction of the thyroid cartilage prominence ("Adam's apple") is often performed with a scalpel, but in cases of cartilage calcification, rongeurs or drills are utilized. This study aims to characterize the success rate with scalpel-only excision and relate this to patient age and operative time.
View Article and Find Full Text PDFCharacterizing and Modeling Ovine Hide and Costal Cartilage for Use in Modeling High-Rate Non-Penetrating Blunt Impact.
Mil Med
August 2024
Department of Biomedical Engineering, Wake Forest School of Medicine, Winston-Salem, NC 27101, USA.
Article Synopsis
- High-rate blunt impacts to the thorax can cause various injuries such as rib fractures and lung contusions, and this study aims to characterize two specific tissues, costal cartilage and hide, for better computational modeling of these impacts.
- Ovine samples were collected and tested for tensile and compressive responses, with costal cartilage subjected to high rates of strain and simulated using LS-Dyna software to create accurate models.
- Results showed that costal cartilage exhibited typical biological behavior with specific failure strains and was modeled as hyperelastic, while the hide was modeled with an Ogden rubber format, contributing valuable data for understanding injury mechanics.
How to Approach the Secondary Osmidrosis Treatment With the Arthroscopic Cartilage Shaving Procedure and Avoid Skin Necrosis.
Ann Plast Surg
August 2024
Department of Plastic and Reconstructive Surgery, Aesthetic Medical Center of Xiamen Chang Gung Hospital, Fujian, China.
Mechanically fragmented cartilage grafts in rhinoplasty: An up-to-date systematic review.
J Plast Reconstr Aesthet Surg
August 2024
Department of Plastic, Reconstructive and Aesthetic Surgery, Università Campus Bio-Medico di Roma, Rome, Italy.
Introduction: Grafts play key roles in functional and aesthetic rhinoplasty. Autologous grafts are generally preferred for their biocompatibility and less visibility when used in a fragmented fashion. The aim of this study was to review mechanically fragmented cartilage grafts techniques described in the literature, outlining indications, outcomes, and complications.
View Article and Find Full Text PDFImpact of Tissue Handling and Size Modification on Septal Chondrocyte Viability.
Laryngoscope
October 2024
Department of Otolaryngology-Head and Neck Surgery, University of California Irvine, Irvine, California, U.S.A.
Introduction: The physical modification of cartilage grafts during rhinoplasty risks chondrocyte death at the margins where the tissue is cut. This study compares chondrocyte viability between diced, scaled, and pate samples in human models, and further computes percent chondrocyte viability as a function of sequential dicing size in a computational model.
Methods: Septal cartilage from 11 individuals was prepared as follows: diced (1 mm cubic), scaled (shaved to <1 mm thickness ~ translucent), pate (0.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!