| 0105-446 Tsai
Tsai RY, Lin JY.
Experience of tumescent liposuction in the treatment of osmidrosis. Dermatol Surg. 2001 May;27(5):446-8. PMID: 11359491
Comment in:
Dermatol Surg. 2003 Mar;29(3):317.
Department of Dermatology and Skin Laser Center, Taipei Municipal Wan Fang
Hospital, Taipei Medical University, Taipei, Taiwan.
BACKGROUND: Tumescent liposuction is a safe procedure for removal of
subcutaneous fat tissue. Because apocrine glands are located deep in the fat,
surgical removal of these glands by nontumescent liposuction has been utilized
for treating osmidrosis. OBJECTIVE: To evaluate the effect of tumescent
liposuction in the treatment of osmidrosis and to compare the efficacy of simple
tumescent liposuction and combined tumescent liposuction and curettage. METHODS:
A total of 20 patients with osmidrosis (all female, age 16-44 years) were
included in this study. Ten patients were treated by simple tumescent
liposuction, the other 10 patients were treated by tumescent liposuction
combined with curettage. The aspirates were sent for pathologic examination. At
a follow-up visit, the improvement of symptoms was graded by the patient as
satisfied when the odor decreased> 75%, partially satisfied when it decreased
>/=50% to </=75%, and dissatisfied when it decreased <50%. RESULTS: Among the 10
patients treated with simple tumescent liposuction, 10% were satisfied, 70% were
partially satisfied, and 20% were dissatisfied. Eighty percent of patients
treated with a combination of tumescent liposuction and curettage were
satisfied, while 20% were partially satisfied. No major complications were noted
following the procedure except mild ecchymosis and swelling. CONCLUSION:
Tumescent liposuction is a simple and safe procedure in the treatment of
osmidrosis. Tumescent liposuction combined with curettage is better than simple
tumescent liposuction alone. The effect of tumescent liposuction combined with
curettage in the treatment of osmidrosis is compatible with traditional surgery
or neurosurgery but offers fewer complications.
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