Axillary Osmidrosis Treatment Using an Aggressive Suction-Curettage Technique: A Clinical Study on Paired Control.

Background: Axillary osmidrosis results in social and psychological problems. Liposuction-assisted techniques used as treatments have been reported to have high recurrence rates. This study aims at introducing the aggressive suction-curettage technique in comparison to the open excision procedure.
Methods: From February 2009 to February 2014, 130 patients were randomly divided into two groups (experimental and control groups). The experimental group was treated with aggressive suction-curettage, while the control group was treated with an open excision. Postoperative assessment (skin necrosis, hematoma, scars and malodour recurrence) and patient satisfaction were surveyed and analyzed.
Results: A lower necrosis rate was observed in patients who received aggressive suction-curettage (1.88 %, p < 0.01), higher patient satisfaction (33.85 %, p < 0.01), higher recurrence rate (11.54 %, p < 0.05), and less ugly scars (0.77 %, p < 0.01), compared to those who had the open excision procedure.
Conclusions: The aggressive suction-curettage technique appears to be a reliable treatment option for axillary osmidrosis.