Clinical Observation of Small Incision'V'-Shaped Auxiliary Skin Flap Combined with Packing Fixation for the Treatment of Axillary Odor
Objective:To explore the clinical application and efficacy of a small incision"V"-shaped auxiliary flap at the lower axillary margin for excising apocrine sweat glands combined with packing fixation in the treatment of bromhidrosis.Meth-ods:From August 2021 to August 2023,80 patients with bromhidrosis who underwent surgical treatment in the Plastic and Aes-thetic Department of our hospital were included in this study.The apocrine sweat glands were excised using a small incision"V"-shaped auxiliary flap under local anesthesia at the lower edge of the axilla,combined with the packing fixation method.Results:All 80 patients were cured in a single procedure,resulting in a total effective rate of 100%.Three cases experienced postopera-tive complications,including two cases of bilateral subcutaneous hematoma on the third day after surgery and one case of local skin necrosis at the bilateral incisions during unpacking,all in male patients.The complication rate was 3.75%.After 3 to 24 months of postoperative follow-up,no patients were lost to follow-up,and there were no cases of recurrence or significant scar hyperplasia observed among the follow-up patients.Conclusion:The treatment of bromhidrosis using a small incision"V"-shaped auxiliary flap at the lower edge of the axilla under local anesthesia effectively avoids common complications such as subcu-taneous hematoma,flap necrosis,and postoperative recurrence.This method demonstrates good treatment outcomes,is straight-forward to perform,results in concealed scars,and maintains skin color similar to that of normal skin,fulfilling patients'aesthet-ic and treatment expectations.This technique is worthy of promotion.
bromhidrosissmall incision"V"-shaped auxiliary skin flap at the lower edgepacking fixation
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