Page 170 - Read Online

Tanaka et al. Plast Aesthet Res 2020;7:17 Plastic and
DOI: 10.20517/2347-9264.2020.12 Aesthetic Research

Original Article Open Access

Safety and efficacy of surgical treatments for
axillary osmidrosis: a retrospective cohort study

comparing conventional open excision with
cartilage-shaver closed curettage

Ryutaro Tanaka, Daichi Morioka, Syuryo Akamine, Takafumi Shimizu, Koichi Kadomatsu
Department of Plastic Surgery, Showa University, Tokyo 142-8666, Japan.

Correspondence to: Prof. Daichi Morioka, Department of Plastic Surgery, Showa University, 1-5-8 Hatanodai, Shinagawa-ku,
Tokyo 142-8666, Japan. E-mail: dmorioka@gmail.com

How to cite this article: Tanaka R, Morioka D, Akamine S, Shimizu T, Kadomatsu K. Safety and efficacy of surgical treatments for
axillary osmidrosis: a retrospective cohort study comparing conventional open excision with cartilage-shaver closed curettage.
Plast Aesthet Res 2020;7:17. http://dx.doi.org/10.20517/2347-9264.2020.12
Received: 21 Jan 2020 First Decision: 6 Mar 2020 Revised: 14 Mar 2020 Accepted: 2 Apr 2020 Published: 10 Apr 2020

Science Editor: Raúl González-García Copy Editor: Jing-Wen Zhang Production Editor: Jing Yu

Abstract
Aim: The aim of this study was to evaluate the usefulness of suction-assisted cartilage shaver (SACS) system
closed curettage by comparing it with open excision regarding safety and efficacy.

Methods: A retrospective chart review was conducted for patients with axillary osmidrosis (AO) who underwent
either open excision or SACS closed curettage between 2006 and 2018. We investigated the demographic data
of patients and compared the postoperative complications and outcomes of the patients undergoing the two
procedures.

Results: A total of 91 patients underwent SACS closed curettage and 188 patients underwent open excision. The
complication rate in the SACS group (10.4%) was significantly lower than that in the open excision group (20.7%).
Each procedure led to unsuccessful outcomes for two patients.

Conclusion: SACS closed curettage was safer than open excision for AO. Both procedures were extremely effective.
Although decision-making for surgical treatment options for AO is affected by such other factors as discomfort in
dressing, recovery time, scar formation, and cost, our results should be helpful for both surgeons and patients.

Keywords: Axillary osmidrosis, retrospective chart review, open excision, suction-assisted cartilage shaver system

© The Author(s) 2020. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long
as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license,
and indicate if changes were made.

www.parjournal.net