Shortening of Incision by “Pinch and Turn-Over Technique” in the Treatment of Axillary Osmidrosis

Background The pinch and turn-over technique was developed to minimize the incision in the manual subdermal excision of apocrine glands in axillary osmidrosis for the best cure and fewest complications. Methods Through a 2-cm-long incision, peripheral subdermal tissue was excised by the technique un...

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Bibliographic Details
Published in:Aesthetic plastic surgery 2019-02, Vol.43 (1), p.267-277
Main Author: Lee, Eui-Tae
Format: Article
Language:English
Subjects:
Adolescent
Adult
Apocrine Glands - surgery
Axilla - surgery
Cohort Studies
Female
Follow-Up Studies
Humans
Hyperhidrosis
Hyperhidrosis - complications
Hyperhidrosis - diagnosis
Hyperhidrosis - surgery
Male
Medicine
Medicine & Public Health
Middle Aged
Minimally Invasive Surgical Procedures - methods
Odorants
Original Article
Otorhinolaryngology
Plastic Surgery
Quality of Life
Retrospective Studies
Severity of Illness Index
Surgical techniques
Treatment Outcome
Young Adult
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Summary:Background The pinch and turn-over technique was developed to minimize the incision in the manual subdermal excision of apocrine glands in axillary osmidrosis for the best cure and fewest complications. Methods Through a 2-cm-long incision, peripheral subdermal tissue was excised by the technique under direct vision using intravenous anesthesia and tumescent technique. Ninety-nine axillae in 50 patients including seven secondary cases were operated on from 2009 to 2018. Long-term follow-up (average 30.3 months) could be done on 40 patients with questionnaires consisting of four-point ordinal-scale questions regarding osmidrosis grade, hyperhidrosis grade and satisfaction. For systematic review regarding incision length, 220 articles from 1962 to 2018 were reviewed with the search terms “osmidrosis” or “bromhidrosis.” Results Thirty-five and 30 of 40 respondents (87.5% and 75.0%) had excellent or good postoperative results in osmidrosis and hyperhidrosis grade. Postoperative improvement of osmidrosis grade (from 2.53 to 0.80) and hyperhidrosis grade (from 1.88 to 0.95) was statistically significant ( p 
ISSN:0364-216X
1432-5241
DOI:10.1007/s00266-018-1263-2