| PRS 0407-93 Perng
Is the treatment of axillary osmidrosis with liposuction better than open
surgery?
Perng CK, Yeh FL, Ma H, Lin JT, Hwang CH, Shen BH, Chen CH, Fang RH. Plast Reconstr Surg. 2004 Jul;114(1):93-7.
Division of Plastic and Reconstructive Surgery, Department of Surgery, Veterans
General Hospital-Taipei, National Yang-Ming University, Taipei, Taiwan.
clperng@vghtpe.gov.tw
Axillary osmidrosis is an annoying, although not life-threatening, problem that
includes unpleasant odor and the occasional staining of clothing.
Suction-assisted lipectomy has been tested as a treatment for axillary
osmidrosis with variable success. The authors retrospectively reviewed 134
patients who underwent superficial liposuction for bilateral axillary osmidrosis
in their division between June of 1998 and June of 2002. The surgical
complications and results were compared with those reported in their previous
report of 343 patients (102 available for postoperative result evaluation) who
received open surgical treatment with partial excision of axillary skin and
subcutaneous tissue. The overall complication rate was 3.73 percent,
significantly lower than the 11.08 percent complication rate seen with open
surgical treatment. Of their 134 patients, 114 were available for long-term
follow-up. Thirteen patients (11.40 percent) had very good results, 79 patients
(69.30 percent) had good results, and 22 patients (19.30 percent) had poor
results. Significant differences were found between those who underwent
superficial liposuction and those who underwent open surgery. The number of
patients with very good and good results decreased significantly from 91.18
percent (open surgery) to 80.70 percent (liposuction), and those with little or
no improvement increased from 8.82 percent (open surgery) to 19.29 percent
(liposuction). Compared with open surgery for the treatment of osmidrosis,
liposuction produces significantly fewer complications but is less effective. Of
the patients who underwent liposuction for osmidrosis, 80 percent were satisfied
with the result. Further study is needed to determine whether liposuction for
osmidrosis can be improved.
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