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学科主题: 临床医学
题名:
A Refined Surgical Treatment Modality for Bromhidrosis: Double W Incision Approach with Tumescent Technique
作者: Li, Hang1; Wang, Bo1; Zhang, Zijun1; Ke, Malcolm S.2; Yang, Shuxia1
刊名: DERMATOLOGIC SURGERY
发表日期: 2009-08-01
DOI: 10.1111/j.1524-4725.2008.34429.x
卷: 35, 期:8, 页:1258-1262
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Dermatology ; Surgery
研究领域[WOS]: Dermatology ; Surgery
关键词[WOS]: LIPOSUCTION ; CURETTAGE ; HYPERHIDROSIS ; OSMIDROSIS
英文摘要:

BACKGROUND

Axillary bromhidrosis has a strong negative effect on one′s social life. A high success rate and few complications are criteria for an ideal treatment method.

OBJECTIVE

To evaluate a new surgical treatment modality for bromhidrosis: Double W incision with full-exposure excision under tumescent anesthesia.

MATERIALS & METHODS

Twenty patients with bromhidrosis were treated. Patients were placed in a supine position with their treated arms abducted to 110 degrees. After injection of 60 mL of tumescent solution into each axilla, two small W incisions were made at the superior and inferior axillary poles of the hair-bearing area. The whole hair-bearing skin was undermined at the level of the superficial fat to obtain adequate skin eversion. The flaps were everted to offer full exposure of the apocrine glands, and meticulous excision of each gland was performed. Finally, the incisions were re-approximated, and bulky compressive dressings were applied to the area for 72 hours.

RESULTS

Of the 40 axillae (20 patients), 32 (80.0%) showed excellent results, and eight (20.0%) had good results. Malodor was significantly decreased. There were no serious complications.

CONCLUSION

This technique can produce excellent results with a lower complication rate than most other surgical modalities and can be performed without costly equipment.

The authors have indicated no significant interest with commercial supporters.

语种: 英语
WOS记录号: WOS:000268482100013
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/63682
Appears in Collections:北京大学第一临床医学院_皮肤性病科_期刊论文

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作者单位: 1.Peking Univ, Dept Dermatol, Hosp 1, Beijing 100034, Peoples R China
2.Univ Calif Los Angeles, Div Dermatol, Los Angeles, CA 90024 USA

Recommended Citation:
Li, Hang,Wang, Bo,Zhang, Zijun,et al. A Refined Surgical Treatment Modality for Bromhidrosis: Double W Incision Approach with Tumescent Technique[J]. DERMATOLOGIC SURGERY,2009,35(8):1258-1262.
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