Subdermal Coagulation Treatment of Axillary Bromhidrosis by 1,444 nm Nd:YAG Laser: A Comparison with Surgical Treatment
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Bromhidrosis is a disease presenting as malodor caused byinteraction between the discharge of apocrine glands andbacteria. The main therapeutic modalities are applyingtopical agents, liposuction surgery, and elective surgery. Among these, elective surgery is reported to be mosteffective. However, the efficiency largely depends onsurgical technique. Additionally, other side effects, such ashematoma and scarring, are occasionally reported. Currently, CO2 laser and 1,064 nm Nd:YAG laser therapy areused, but as the wavelength is not specific to apocrine glands,these laser therapies have certain limitations. Recently, a1,444 nm wavelength AccusculptTM laser (LutronicCorp.,Seoul, Korea) has been developed which is now commonlyused for facial fat plasty and laser liposuction therapy. Theuse of this laser for bromhidrosis therapy targeting apocrinesweat glands is currently being discussed. Still, no studies onpractical clinical use and side effects of this 1,444 nmwavelength laser have been published. In this report, wetreated one bromhidrosis patient with 1,444 nm wavelengthAccusculptTM laser therapy on one side while conventionalsurgery was performed on the other side using a modifiedInaba’s method. We compared the efficacy of this lasertherapy to the surgical modality by measuring malodorseverity and overall satisfaction by questionnaire. We alsochecked for other complications and recurrence for 12months after the treatment. This patient was largely satisfiedas it has a much shorter down time with the same therapeuticoutcome. As subdermal coagulation treatment by 1,444 nmNd:YAG laser may be less invasive but effective therapy, wewould like to recommend this modality as a possibletreatment option.
Abstract
Bromhidrosis is a disease presenting as malodor caused byinteraction between the discharge of apocrine glands andbacteria. The main therapeutic modalities are applyingtopical agents, liposuction surgery, and elective surgery. Among these, elective surgery is reported to be mosteffective. However, the efficiency largely depends onsurgical technique. Additionally, other side effects, such ashematoma and scarring, are occasionally reported. Currently, CO2 laser and 1,064 nm Nd:YAG laser therapy areused, but as the wavelength is not specific to apocrine glands,these laser therapies have certain limitations. Recently, a1,444 nm wavelength AccusculptTM laser (LutronicCorp.,Seoul, Korea) has been developed which is now commonlyused for facial fat plasty and laser liposuction therapy. Theuse of this laser for bromhidrosis therapy targeting apocrinesweat glands is currently being discussed. Still, no studies onpractical clinical use and side effects of this 1,444 nmwavelength laser have been published. In this report, wetreated one bromhidrosis patient with 1,444 nm wavelengthAccusculptTM laser therapy on one side while conventionalsurgery was performed on the other side using a modifiedInaba’s method. We compared the efficacy of this lasertherapy to the surgical modality by measuring malodorseverity and overall satisfaction by questionnaire. We alsochecked for other complications and recurrence for 12months after the treatment. This patient was largely satisfiedas it has a much shorter down time with the same therapeuticoutcome. As subdermal coagulation treatment by 1,444 nmNd:YAG laser may be less invasive but effective therapy, wewould like to recommend this modality as a possibletreatment option.
참고문헌 (5)
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