- 期刊
Treatment of Axillary Osmidrosis with the Use of Suction-Assisted Cartilage Shaver
以旋轉刀刮除抽吸術治療腋下狐臭症
摘要
背景：狐臭影響正常社交生活的惱人的問題。外用的止汗劑或是體香膏只能提供短暫的效果，唯一能根除狐臭唯有手術治療。理想治療狐臭的手術應1.持續有效效果2.手術時間短3.局部麻醉可完成4.恢復時間短5.疤痕不明顯6.傷口併發症少。內視鏡旋轉刮刀切除抽吸術可以達倒以上之所有需求並且為目前最普及用來治療狐臭的方法。然而，仍有少許傷口癒合不良的併發症。目的及目標：為減少術後併發症，我們就原有的術式加以改良調整。材料及方法：從2003年7月到2011年8月，總共有76位病患接受了內視鏡旋轉刮刀切除抽吸術，手術由兩位資深的醫師執行，經由0.5~1公分的切口在腋下皮下組織製造8-10個空腔，在不打斷空腔之間的組織的原則下，刮除頂漿腺體。結果：76位病患中可以追蹤到55位，追蹤的時間從2個月到76個月（平均27個月），有89%的病患有良好的除臭效果。所有的病人中只有一位有腋下血腫（0.9%）情況，並沒有其它傷口之主要併發症發生。結論：在不打斷空腔之間的軟組織，能使皮辦保有更好的血液循環，進而減少傷口併發症，除臭效果也佳，是為去除狐臭手術選項之一。
關鍵字
無資料並列摘要
Background:Axillary osmidrosis is an embarrassing condition that causes disturbing social problems, especially in Asian societies. However, topical treatment could only provide temporary improvement. Permanent solutions required surgical intervention. The conventional operation has some disadvantages, such as large wounds, conspicuous scars and long recovery time. The ideal operation should comprehend permanent effect, an outpatient surgery with local anesthesia, short operation time, rapid recovery, minimized complications and inconspicuous scar. The use of suction-assisted cartilage shaver accomplishes all these needs and is already a prevalent treatment of axillary osmidrosis. However, small wound complications still occur postoperatively.Aim and Objectives:We modified the procedure in dissecting the axillary area in order to diminish such complications mentioned.Materials and Methods:From July 2003 to August 2011, 76 patients with axillary osmidrosis (57 females and 19 males) were treated under suction-assisted cartilage shaver with modified procedure. We tunneled the subcutaneous layer above the deep fascia and kept several septa attaching to the skin without completely dissecting the subcutaneous layer. Finally, the complete removal of the apocrine gland was checked by endoscope.Results:All patients were followed up but only 55 patients completed the questionnaire. Patients were followed 2~67 months with an average of 27 months. The satisfaction of malodor improvement was scored from 1~5 (5 indicates very satisfied and 1 indicates disappointed). No odor: 30.9%, almost complete odor elimination: 41.8%, partial odor elimination: 16.4%).One (1.8%) revealed hematoma over right axilla.Conclusion:The modified design of preserving septa without full dissection and endoscopy viewing were used in order to diminish the complications and complete eradication of the apocrine glands.