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September 09-10, 2019 | Edinburgh, Scotland
2nd Global Summit on
3rd International Conference on
Dermatology and Cosmetology
Wound Care, Tissue Repair and Regenerative Medicine
Joint Event
&
Journal of Dermatology Research and Skin Care | Volume 3
Dermatol Res Skin Care, Volume 3
Sparing subcutaneous septa avoids skin necrosis in the treatment of axillary bromhidrosis
with suction‐curettage shaving
Kuan‐Ying Wang and Kuei‐Chang Hsu
Changhua Christian Hospital, Taiwan
Background: Surgical treatment of axillary bromhidrosis or
hyperhidrosis involves the removal of apocrine glands. There
are several methods to eliminate apocrine glands; however,
many methods reported significant rates of skin necrosis. To
avoid this problem while preserving comparable results, we
used a modified method sparing several subcutaneous septa,
which successfully avoided skin necrosis completely in our
series of 19 consecutive cases.
Methods: This is a prospective case series in a single center
by a single surgeon. Unlike other series using suction‐
curettage shaver, we preserved some septa. The skin flaps
between septa were approximately shaved as thin as 2 mm.
The patients rated their smell on a 0‐10 numeric rating scale
(NRS‐11) preoperatively and postoperatively. The results
were analyzed with Mann‐Whitney U test and Wilcoxon
signed‐rank test.
Results: A total of 19 consecutive patients were included. The
mean degree of pre- operative and postoperative smell on the
NRS‐11 scale was 7.200 and 2.825, respectively. There was
only one patient who developed postoperative ecchymosis.
No other complications, such as skin necrosis, hematoma, or
infection were found.
Conclusions: We modified the suction‐curettage cartilage
shaver to eliminate the complications. Our method reveals a
satisfying result, and there were no significant complications.
Speaker Biography
Kuan-Ying Wang is a tutor of surgery of Yang Ming University. He formerly
worked at Kaohsiung Veterans General Hospital as a plastic surgeon. After
graduating from the Taipei Medical University, he specialized in Plastic
Surgery in Kaohsiung, Taiwan and became a tutor in Yang Ming National
University. He is a fellow of Kaohsiung Veterans General Hospital. He has
published some scientific works regarding reconstructive and aesthetic
surgery. He also gave presentations at American Society of Plastic Surgery.
Currently, he is a attending physician at Changhua Christian Hospital.
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