Korean J Dermatol.  1979 Apr;17(2):97-103.

A Clinical Analysis for Surgical Treatment of Osmidrosis

• Kim MG
• Kim SN

Abstract

This report is a clincal analysis in 18 follow up cases of 51 patients had treated' by surgical procedures from Jan. 1972 to Jul. 1978 at Korea University Hospital The results are as follows: I. The used methods of operative treatment and number of patients were respectively catagorized in I) elliptical resection for 36 cases, 2) modified method. of W-pla,sty for 10 cases, 3) complete excision and relieving Z-plasty for 4 cases, and 4) biipedicle mcision of one case. Among the methods, the modified method;. of W-plasty was a new trial method atempted, by our departrnent. 2. The ratio of between male and female was 23 to 28. 3. The age onset was raged from 12 to 37 year and average at the tires of onset vras 17. 3 years old. 4. The average age on the operation was 22.6 years old and the averag. duration after onset was five years. 5. The anesthesia used in operation were 1) general anesthesia for 7, cases and 2) local anesthesia, 44 cases. 6. The total times o.' operation were averaged in 80 minutes for elliptical resection and 90 minutes for modified W-plasty. 7. The results of analysis in 18 follow up cases were the followings: (1) The utilized method of operation were respectively elliptical resection in eight cases, modified W-plasty in seven cases, complete excision and relieving Z-plasty in 2 cases, and bipedicle incision 1 case. (2) The average rate of relieving odor was 86. 1%, and in detail 81. 1% for elliptical resection, 92. 8% for modified W-plasty were found respectively. (3) The average rate of suppression of sweating was 88. 8% and in detail 87. 5% for elliptical resection, 92.8% for modified W-plasty. (4) Yhe average rate of tension on motion aftez 6 weeks from operation wss 1 l. 1% and in detail 12. 5% for elliptical resectiion, 7. 1% for modified W-plssty; (5) As a result, the newly trial method was favored in terms of clinical finding above mentioned.

MeSH Terms

Anesthesia
Anesthesia, General
Anesthesia, Local
Child, Preschool
Female
Follow-Up Studies
Humans
Korea
Male
Odors
Rage
Sweat
Sweating