A Comparison of 3 Minimally Invasive Surgeries for Treating Axillary Osmidrosis.

[BACKGROUND] Axillary osmidrosis is a common cause of physical and social discomfort. Although many treatments are available, there is still room for improvement.

[OBJECTIVE] For treatments of axillary osmidrosis 3 minimally invasive surgical methods of nasal endoscope-assisted suction cutting device, liposuction combined with subcutaneous curettage, and small incision trimming method are compared for the clinical efficacy, advantages and disadvantages.

[METHODS] Two hundred fifty-one axillary osmidrosis patients treated respectively with nasal endoscope-assisted suction cutting device, Liposuction with curettage, or small incision trimming method are investigated and the surgical outcomes and complications are analyzed.

[RESULTS] The effective rate is higher in the endoscopic group compared to the trimming and liposuction with curettage group ( P < 0.025). The postoperative Vancouver Scar Scale and total complication rate in the trimming group are significantly higher than those in the endoscopic and liposuction groups ( P < 0.025). The Hyperhidrosis Disease Severity Scale and overall satisfaction rate was superior in the endoscopic group compared to both liposuction with curettage and trimming groups.

[CONCLUSIONS] Liposuction with curettage has fewer complications and is safer, but with a lower cure rate. The small incision trimming method provides a more thorough treatment but with a higher complication rate. Relatively, nasal endoscope-assisted suction cutting device ensures thorough removal with fewer complications, making it a more recommended method.