[Ultrasonic apocrine suction-lipolysis under endoscopic guidance for axillary osmidrosis].
There are several modalities to treat axillary hyperhydrosis. None of these eliminates the sweat-associated odor (Osmidrosis), which is sometimes present even despite local hygiene and use of deodorants. A technique to dissolve the axillary apocrine glands under endoscopic guidance has been described to be highly efficient, without compensatory hyperhydrosis. We describe our experience with the first 18 patients who were treated by this technique. A 1.5 cm axillary incision was used to introduce both the endoscope and the ultrasonic suction-lipolysis device. Complete disappearance of axillary sweat and odor was achieved immediately after treatment. Superficial hematoma was the only complication encountered. One-sided recurrence was observed in one patient over an 8 month follow-up period.
Winkler
Eyal
E
Department of Plastic Surgery, Sheba Medical Center, Tel Hashomer, Sackler Faculty of Medicine, Tel Aviv University.
Bar-Meir
Eran
E
Orenstein
Arie
A
Rosin
Danny
D
D000328:Adult; D001050:Apocrine Glands / Q000000981:diagnostic imaging*; D001365:Axilla; D005260:Female; D006801:Humans; D006945:Hyperhidrosis / Q000000981:diagnostic imaging / Q000628:therapy*; D008066:Lipolysis; D008297:Male; D013396:Suction / Q000379:methods*; D014463:Ultrasonography