Treatment of Osmidrosis with Scrape and Inhalation Technique

ABSTRACT

Traditional technique for the treatment of osmidrosis had a few problems, such as difficulty in exposing axilla because of the scar that is left after the operation, and sometimes brought misunderstanding of breast augmentation. I have designed a new operation method by improving the existing suction cannula in order to reduce the recurrence rate, by raising the apocrine gland removal to the incision technique level while maintaining the existing suction technique merits. The new method is based on negative pressure of suction, but has a scraping function added for removing the subdermal gland appropriately. It is named Scrape & Inhalation Technique(SIT). This was enforced to 104 patients from January, 2004 to December, 2004. The follow-up on the operation results were examined for at least 3 months and 19 months maximum. Recurrence and sequela were checked by direct counseling, telephone, e-mail, and cell phone messages after the operation. Among the subjects, 5 patients showed recurrence and received operation again. The others were totally satisfied with results. One patient had skin necrosis, but its diameter was not over 2cm and was completely treated by dressing having small scar. Inconvenience such as the epidermis sloughing was found in many patients, but it was treated well without any scars by simple dressing. Sequela such as permanent motor abnormality or dysaesthesia was not found at all.