title: Excision of apocrine glands with preservation of axillary superficial fascia for the treatment of axillary bromhidrosis.
abstract: BACKGROUND
  Axillary bromhidrosis is a distressing problem, which has a strong negative effect on one's social life.
  
  
  OBJECTIVE
  To evaluate the effects and complications of the surgical modality for the treatment of axillary bromhidrosis.
  
  
  METHODS
  One hundred fifteen patients with axillary bromhidrosis were treated. Two incisions were made transversely along the marked lines on the axillary crease. Subdermal undermining of the marked area with a depth of 0.3 to 0.5 cm and transverse detachment were performed, allowing the exposure of the skin flaps. Skin flaps were carefully separated from the skin. The apocrine glands, follicles, and fats were dissected, and the axillary superficial fascia was maintained.
  
  
  RESULTS
  All patients achieved good results in terms of malodor elimination during the follow-up period. All patients reported reduction in axillary sweating. Postoperative complications were minor, including small hematoma (3 cases), delayed wound healing (5 cases), pressure blister (5 cases), and slightly wound scar (2 cases). No infection, skin necrosis, malodor, or recurrence was observed. One hundred eleven patients (96.5%) were very satisfied and 4 (3.5%) patients satisfied with the procedure, with none regretful.
  
  
  CONCLUSIONS
  The procedure has the advantage of a high success rate in radical elimination of the malodor with minor complications.
authors: *Department of Dermatology, The Second Hospital of Tianjin Medical University, Tianjin, China; †Department of Dermatology, General Hospital, Tianjin Medical University, Tianjin, China.
authors: Zhuo-Ran
authors: ZR
authors: Li
authors: Chen-Wei
authors: CW
authors: Sun
authors: Jun-Yan
authors: JY
authors: Zhang
authors: Yu-Qing
authors: YQ
authors: Qi
authors: Jian-Zhong
authors: JZ
authors: Hu
mesh_terms: D000328:Adult; D001050:Apocrine Glands / Q000601:surgery*; D001365:Axilla / Q000601:surgery*; D062109:Dermatologic Surgical Procedures / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006945:Hyperhidrosis / Q000601:surgery*; D008297:Male; D009812:Odorants; D017060:Patient Satisfaction; D012189:Retrospective Studies; D016896:Treatment Outcome