title: Axillary osmidrosis treated by partial removal of the skin and subcutaneous tissue en bloc and apocrine gland subcision.
abstract: BACKGROUND
  Axillary osmidrosis can be treated with many methods, but local surgery is the treatment of choice.
  
  
  METHODS
  Forty-three patients (32 females and 11 males, average age 20.3 years) were treated by partial removal of the skin and subcutaneous tissue en bloc and follicular clipping of the adjacent area. All operations were performed with local anesthesia in an outpatient setting.
  
  
  RESULTS
  Follow-up ranged from 2 to 47 months (mean: 13.4 months). Forty-one patients (95%) had good results, two (5%) were fair, and none were poor. No recurrences were seen. The wound complication rate was 3.5% for axillae and 7% for patients. There were no scar contractures or limitations of arm abduction.
  
  
  CONCLUSIONS
  This combined surgical method can eliminate malodor and has a low wound complication and recurrence rate. Though the transient and conspicuous scar is the chief drawback of this method, it is a simple, safe, effective and inexpensive method for treating axillary osmidrosis.
authors.affiliation: Department of Dermatology, Affiliated Hospital of Guangdong Medical College, Zhanjiang, Guangdong, China. fanyming@sina.com
authors.forename: Y M
authors.initials: YM
authors.lastname: Fan
authors.forename: Z H
authors.initials: ZH
authors.lastname: Wu
authors.forename: S F
authors.initials: SF
authors.lastname: Li
authors.forename: Q X
authors.initials: QX
authors.lastname: Chen
mesh_terms: D000293:Adolescent; D000328:Adult; D001050:Apocrine Glands / Q000601:surgery*; D001365:Axilla / Q000601:surgery*; D002681:China; D062109:Dermatologic Surgical Procedures; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006945:Hyperhidrosis / Q000175:diagnosis / Q000601:surgery*; D015187:Lipectomy / Q000379:methods; D008297:Male; D009812:Odorants / Q000517:prevention & control; D017060:Patient Satisfaction; D012189:Retrospective Studies; D013514:Surgical Procedures, Operative / Q000379:methods; D016896:Treatment Outcome