Treatment of Axillary Osmidrosis Using a Subcutaneous Pulsed Nd-YAG Laser
- 김준형; 손대구; 한기환
- Alternative Author(s)
- Kim, Jun Hyung; Son, Dae Gu; Han, Ki Hwan
- Publication Year
- 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
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 2×2 cm 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-togood
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.
Keywords Lasers / Axilla / Starch
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