The Correlation between Axillary Bromhidrosis Area and Dominant Hand

腋下臭汗症與慣用手之關聯

賴冠宏(Kuan-Hung Lai) ； 陳建安(Jian-An Chen) ； 鄭勝峯(Seng-Feng Jeng)

《臺灣整形外科醫學會雜誌》 27卷4期 (2018/12) Pp. 281-288

摘要

Background: Minimally-invasive surgery with suction-assisted cartilage shaver is an effective and safe procedure for treatment of axillary bromhidrosis. The final outcome is determined by the adequacy of excision of apocrine glands beneath the axillary hair. However, the correlation between the area of distribution of glands and the patient's dominant hand is an interesting question that never been studied. Aim and objectives: We collected and analyzed the size of both axillary hair areas of patients with bromhidrosis that underwent surgery using minimally-invasive suction-assisted cartilage shaver. We also inspect the outcome and complications of the surgery. Materials and Methods: There are 39 procedures performed on 37 patients between January 2012 and September 2015. All patients underwent bromhidrosis surgery with suction-assisted cartilage shaver for both axillae by a single senior surgeon. The size of both axillary hair areas was recorded in 16 patients. Results: 92.1% of patients reported excellent and good outcomes. Minimal complications were noted including one recurrent odor (2.7%). No significant wound complication was noted except in 2 patients who reported visible scarring on arm-stretch (5.4%). The size of the axillary hair area ranges from 22.6 to 58.8 cm^2, and mean size is 41.89 ± 9.05 cm^2 of the right axilla and 39.26 ± 10.15 cm^2 of left axilla. There are 13 patients who are right hand dominant and 3 left hand dominant. We analyzed the data with Mann- Whitney U test, and there is significant correlation between the right axillary bromhidrosis area and right dominant hand (P=0.019). We also divided each side of axillary hair area into two groups which are larger and smaller size of each patient and significant difference was noted with t test (P=0.026). Conclusion: The axillary hair area of a right dominant hand is larger than in left non-dominant hand. Minimally-invasive suction-assisted cartilage shaver is an effective and safe way to treat bromhidrosis, but it would be advantageous to know the hand dominance before the operation for a more targeted approach.

關鍵字

bromhidrosis ； apocrine gland ； dominant hand ； suction-assisted cartilage shaver

並列摘要

背景：我們使用微創抽吸輔助軟骨旋轉刀治療腋下臭汗症的同時，收集並研究腋下臭汗症面積與慣用手之關聯。目的及目標：在此我們將提供關於腋下臭汗症面積與慣用手之關聯的數據與研究結果，並且也提供治療的效果與併發症。材料及方法：2012至2015年，共有37個病患接受手術腋下臭汗症手術，我們收集其中16個病患腋下臭症之面積與慣用手等資訊，加以統計分析。另外，我們也統計病患滿意度及併發症，以檢視手術成果。結果：腋下臭汗症面積範圍從22.6至58.8平方公分，右側腋下臭汗症平均面積為42.72±8.73平方公分，左側為40.3±9.56平方公分。其中13人為右側慣用手，其餘3人為左手。統計分析右側慣用手與右側腋下臭汗症面積有正相關(P=0.019)。此外，每個病患的兩側腋下臭汗症面積也有顯著差異(P=0.026)。病患滿意度達91.2%，且無嚴重併發症。結論：微創抽吸輔助軟骨旋轉刀治療腋下臭汗症是安全且有效的。而慣用手側之腋下臭汗症面積較大，手術時應注意避免遺漏。