Experience in Subdermal Excision of Apocrine Glands for Axillary Osmidrosis by a Single Surgeon-An Analysis of 53 Cases

小傷口皮下切除法治療狐臭－醫師之53例個案分析

何格彰(Ko-Chang Ho) ； 葉敬淳(Chin-Choon Yeh) ； 黃國峯(Kuo-Feng Huang)

《臺灣整形外科醫學會雜誌》 20卷2期 (2011/06) Pp. 96-102

https://doi.org/10.7096/TJTSPS.201106.0096

摘要

背景：
狐臭是一個常見而令人困擾的問題，藥物治療的效果不佳而且是暫時的，局部手術切除頂漿腺是一個良好的治療方式。
目的及目標：
在這篇文章中，我們評估了小傷口切除法的效果及其併發症。
材料及方法：
從2004年5月到2010年5月，總共有66位病患接受了小傷口皮下切除法的狐臭治療，這些手術均由單一資深醫師執行，透過只有2公分的小傷口，運用手指外翻的技巧，可以在肉眼直視下將頂漿腺完整的切除及確切的止血。
結果：
66位病患中可以追蹤到53位，追蹤的時間從3個月到71個月（平均30個月），整體滿意度達到94.3%。除臭效果有96.2%的病患有良好效果。早期併發症包括血腫(0.9%)、傷口邊緣壞死(1.8%)、傷口出血(0.9%)，晚期併發症包括皮脂囊腫(1.8%)、毛囊炎(0.9%)、肥厚性疤痕(0.9%)。一位病患因爲除臭效果不彰而接受了第二次的相同手術。
結論：
這個手術的效果好且併發症少，對整形外科醫師來說可以是一個選擇。

並列摘要

Background:
Axillary osmidrosis is a common troublesome and disturbing social problem. Medical treatment is only temporally effective. Local excision of the apocrine glands is the treatment of choice.
Aim and Objectives:
In this study, we evaluated the effectiveness and complications of a small-incision surgical procedure.
Materials and Methods:
From May 2004 to May 2010, 66 patients with axillary osmidrosis have been treated by the senior author with subdermal excision of the apocrine glands via a 2-cm transverse incision, using ”manual eversion” technique. Apocrine glands excision and delicate hemostasis were achieved under direct vision.
Results:
53 of 66 cases could be followed up. The patients were followed-up for 3 to 71 months with a mean of 30 months. The total satisfactory rate was 94.3%. 96.2% of the patients had good results for malodor elimination. Early complications included hematoma(0.9%), wound edge necrosis(1.8%), and bleeding(0.9%). Late complications included sebaceous cyst(1.8%), folliculitis(0.9%), and hypertrophic scar(0.9%). One patient received a second operation due to recurrent malodor.
Conclusion:
The procedure has the advantages of a high success rate with minor complications. It should be an alternative for plastic surgeons.

並列關鍵字

axillary osmidrosis ； subdermal excision ； subcision