Safety and efficacy of surgical treatments for axillary osmidrosis: a retrospective cohort study comparing conventional open excision with cartilage-shaver closed curettage

Aim:The aim of this study was to evaluate the usefulness of suction-assisted cartilage shaver(SACS)system closed curettage by comparing it with open excision regarding safety and efficacy.Methods:A retrospective chart review was conducted for patients with axillary osmidrosis(AO)who underwent either open excision or SACS closed curettage between 2006 and 2018.We investigated the demographic data of patients and compared the postoperative complications and outcomes of the patients undergoing the two procedures.Results:A total of 91 patients underwent SACS closed curettage and 188 patients underwent open excision.The complication rate in the SACS group(10.4%)was significantly lower than that in the open excision group(20.7%).Each procedure led to unsuccessful outcomes for two patients.Conclusion:SACS closed curettage was safer than open excision for AO.Both procedures were extremely effective.Although decision-making for surgical treatment options for AO is affected by such other factors as discomfort in dressing,recovery time,scar formation,and cost,our results should be helpful for both surgeons and patients.