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논문 기본 정보

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학술저널
저자정보
Kim, Dae-Jin (Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine) Kim, Jun-Hyung (Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine) Yeo, Hyeon-Jung (Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine) Kwon, Hyuk-Jun (Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine) Son, Dae-Gu (Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine) Han, Ki-Hwan (Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제39권 제2호
발행연도
2012.1
수록면
143 - 149 (7page)

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Background : Axillary osmidrosis is characterized by an unpleasant odor, profuse sweating, and in some instances, staining of clothes that may socially and psychologically impair affected individuals. Various types of surgical procedures have been developed for the treatment of axillary osmidrosis. This study was undertaken to evaluate the effectiveness of subcutaneous pulsed neodymium: yttrium-aluminum-garnet (Nd-YAG) laser treatment for the treatment of axillary osmidrosis. Methods : Twenty-nine patients with axillary osmidrosis were included in this study. Patients were categorized according to the results of an axillary malodor grading system, and a subcutaneous pulsed Nd-YAG laser was applied to all patients. The treatment area for the appropriate distribution of laser energy was determined using the iodine starch test (Minor's test) against a grid pattern composed of $2{\times}2cm$ squares. The endpoint of exposure was 300 to 500 J for each grid, depending on the preoperative evaluation results. The results were evaluated by measurement of axillary malodor both pre- and postoperatively using the grading system and iodine starch test. Results : The average follow-up period was 12.8 months. Nineteen patients had a fair-to-good result and ten patients had poor results. The postoperative Minor's test demonstrated that there were remarkable improvements for patients with mild to moderate symptoms. Complications including superficial second degree burns (n=3) were treated in a conservative manner. A deep second degree burn (n=1) was treated by a surgical procedure. Conclusions : Subcutaneous pulsed Nd-YAG laser has many advantages and is an effective noninvasive treatment for mild to moderate axillary osmidrosis.
#Lasers #Axilla #Starch

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참고문헌 (15)

참고문헌 신청
Akutsu T / 2006 / Individual comparisons of the levels of (E)-3-methyl-2-hexenoic acid, an axillary odor-related compound, in Japanese / Chem Senses 31:557~563 google schola Perng CK / 2004 / Is the treatment of axillary osmidrosis with liposuction better than open surgery? / Plast Reconstr Surg 114:93~97 google schola Park YJ / 2001 / What is the best method for treating osmidrosis? / Ann Plast Surg 47:303~309 google schola Swinehart JM / 2000 / Treatment of axillary hyperhidrosis: combination of the starch-iodine test with the tumescent liposuction technique / Dermatol Surg 26:392~396 google schola Ichikawa K / 2006 / Subcutaneous laser treatment of axillary osmidrosis: a new technique / Plast Reconstr Surg 118:170~174 google schola

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