Liposuction untuk Bromhidrosis Aksilaris
DOI:
https://doi.org/10.55175/cdk.v45i1.837Kata Kunci:
Bromhidrosis aksilaris, liposuctionAbstrak
Bromhidrosis aksilaris adalah kombinasi hiperhidrosis (keringat berlebihan) dan osmidrosis (bau badan) pada ketiak karena dekomposisi produk kelenjar apokrin. Insidens bromhidrosis aksilaris tidak banyak dilaporkan, biasanya penderita mencari pengobatan karena stigma buruk. Terapi konservatif dan non-bedah kurang memuaskan dan bersifat sementara; pembedahan lebih memuaskan namun dengan risiko morbiditas tinggi termasuk komplikasi dan penyembuhan yang lama. Teknik liposuction adalah salah satu terapi bromhidrosis, terdiri dari beberapa cara yaitu; liposuction dengan kuretase, ultrasonic surgical aspiration, suction-assisted cartilage shaver, dan endoscopy-assisted ultrasonic surgical aspiration.Liposuction lebih dipilih karena kerusakan jaringan minimal, sehingga skar minimal, angka kekambuhan rendah, dan memuaskan pasien.
Axillary bromhidrosis is a combination of hyperhidrosis (excessive sweating) and osmidrosis (body odor) in the armpits due to decomposition of apocrine gland products. The incidence of axillary bromhidrosis is not widely reported, consultations are usually because of negative stigma. Conservative and non-surgical therapy is less satisfactory and temporary, surgery is better but with high risk of morbidity including complications and delayed healing. Liposuction technique is an alternative, consisting of several techniques, eg; liposuction with curettage, ultrasonic surgical aspiration, suction-assisted cartilage shaver, and endoscopy-assisted ultrasonic surgical aspiration. Liposuction is preferred because of minimal tissue damage resulting in minimal scarring, low relapse rate, and more satisfaction.
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Referensi
Zouboulis CC, Tsatsou F. Disorder of the apocrine swear glands. In: Wolff KG, Katz LA, Stephen I, Gilchrest BA, Paller AS, Leffell DJ, editors. Fitzpatrick’s dermatology in general medicine. 8th ed. New York: McGraw-Hill; 2012 .p. 947-59
Mao GY, Yang SL, Zheng JH. Etiology and management of axillary bromidrosis: A brief review. Int J Dermatol. 2008;47(10):1063-8. doi: 10.1111/j.1365-4632.2008.03735.x.
Morioka D, Ohkubo F, Amikura Y. Clinical features of axillary osmidrosis: A retrospective chart review of 723 Japanese patients. J Dermatol. 2013;40:384–8
Abruptyn ES. Antiperspirant and deodorants. In: Baumann L, Saghari S, Weisberg E, editors. Cosmetic dermatology principle and practice. 2nd ed. New York: Mc Graw Hill; 2009 .p. 150-5
Seo SH, Jang BS, Oh CK, Kwon KS, Kim MB. Tumescent superficial liposuction with curettage for treatment of axillary bromhidrosis. J Eur Acad Dermatol Venereol. 2008;22(1):30-5. doi: 10.1111/j.1468-3083.2007.02323.x.
Idris SN, Erdina HDD, Kosasih A. Bromhidrosis. CDK. 1999;74:22-24
Barth JH, Ridden J, Philpott MP, Greenall MJ, Kealey T. Lipogenesis by isolated human apocrine sweats glands: Testosterone has no effect during long-term organ maintanance. J Invest Dermatol. 1988;92:333-6
Sato T, Sonoda T, Itami S, Takayasu S. Predominance of type 1 5 alpha reductase in apocrine sweat glands of patients with excessive or abnormal odour derived from apocrine sweat (osmidrosis). Br J Dermatol. 1998;139:806-10
Austin C, Ellis J. Microbial pathways leading to steroidal malodour in the axilla. J Steroid Biochem Mol Biol. 2003;87:105-10
Havlicek J, Lenochova P. The effect of meat consumption on body odor attractiveness. Chem Senses 2006;31:747-52
Mauro T, Goldsmith L. Biology of eccrine, apocrine and apoeccrine sweat glands. In: Wolff K, Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, editors. Fitzpatrick’s dermatology in general medicine. 7th ed. New York: McGraw-Hill; 2008 .p. 713-20
Leyden JJ, McGinley KJ, Holzie E, Labows JN, Kligman AM. The microbiology of the human axilla and its relationship to axillary odor. J Invest Dermatol. 1981;77:413-6
Coulson IH. Disorders of sweat glands. In: Burns T, Brealhnach S, Cox N, Griffiths C, editors. Rook’s textbook of dermatology. 8th ed. Chichester: Wiley-Blackwell; 2010.p. 44.1-22
Aiguo XIE, Lanjun NIE, Qian TAN. Local injection of botulinum toxin A: An alternative therapy for axillary osmidrosis. J Dermatol. 2014;41:153–6
Kao TH, Pan HC, Sun MH, Chang CS, Yang DY, Wang YC. Upper thoracic sympathectomy for axillary osmidrosis or bromidrosis. J Clin Neuorosci. 2004;11:719-22
Iyer S, Raskin BI. Liposuction with local tumescent anesthesia and microcannula technique. In: Shiffman MA, Guiseppe AD, editors. Liposuction principles and practice. Jerman: Springer-Verlag Berlin; 2006 .p. 61-70
Stebbins WG, Leonard AL, Hanke CW. Liposuction. In: Wolff KG, Katz LA, Stephen I, Gilchrest BA, Paller AS, Leffell DJ, editors. Fitzpatrick’s dermatology in general medicine. 8th ed. New York: McGraw-Hill; 2012 .p. 3041-4
Tsai RY. Treatment of excessive axillary sweat syndromes (hyperhidrosis, osmidrosis, bromhidrosis) with liposuction. In: Shiffman MA, Guiseppe AD, editors. Liposuction principles and practice. Jerman: Springer-Verlag Berlin; 2006 .p. 497-501
Tsai RY, Lin JY. Experience of tumescent liposuction in the treatment of osmidrosis. Dermatol Surg. 2001;27:446-8
Kim WO, Song Y, Kil HK, Yoon KB, Yoon DM. Suction-curettage with combination of two different cannules in the treatment of axillary osmidrosis and hyperhidrosis. J Eur Acad Dermatol Venereol. 2008;22:1083-8
Niiyama S, Aiba S, Katsuoka K, Ito Y, Sumiya N. Treatment of osmidrosis using the ultrasonic surgical aspirator. Acta Dermatol Venereol. 2006;86:238-40
Kim HG. A new osmidrosis procedure, the scrape and suction technique: Review of 4,322 patients. Aesth Plast Surg. 2014;38:282–7
Nakahara C, Niiyama S, Kajiura S, Ito Y, Sumiya N, Katsuoka K. The feasibility of treatment for skin disease using the ultrasonic surgical aspirator. Modern Plastic Surg. 2013;3:71-5
Wu WH, Ma S, Lin JT, Tang YW, Fang RH, Yeh FL. Surgical treatment of axillary bromhidrosis: An analysis of 343 cases. Plast Reconstr Surg. 1994;94:288-94
Lee JC, Kuo HW, Chen CH, Juan WH, Hong HS, Yang CH. Treatment for axillary osmidrosis with suction-assisted cartilage shaver. Br J Plast Surg. 2005;58(2):223-7
Wu WH. Ablation of apocrine glands with the use of suction-assisted cartilage shaver for treatment of axillary osmidrosis: An analysis of 156 cases. Ann Plast Surg.2009;62:278-83
Yoo WM, Pae NS, Lee SJ, Roh TS, Chung S, Tark KC. Endoscopy-assisted ultrasonic surgical aspirator of axillary osmidrosis: A retrospective review of 896 consecutive patients from 1998 to 2004. J Plast Reconstr Aesthetic Surg. 2006;59:978-82
Wu WH, Ma S, Lin JT, Tang YW, Fang RH, Yeh FL. Surgical treatment of axillary bromhidrosis: An analysis of 343 cases. Plast Reconstr Surg. 1994;94:288-94
Sood J, Jayaraman L, Sethi N. Liposuction: Anaesthesia challenges. Indian J Anaesth. 2011;55:220-7
Bisbal J, del Cacho C, Casalots J. Surgical treatment of axillary hyperhidrosis. Ann Plast Surg. 1987;18:429–36.
Kim HG. A new osmidrosis procedure, the scrape and suction technique: Review of 4,322 patients. Aesth Plast Surg. 2014;38:282–7
Chung S, Yoo MW, Park YG, Shin KS, Park BY. Ultrasonic surgical aspiration with endoscopic confirmation for osmidrosis. Br J Plast Surg. 2000;53:212-4
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