An Objective Assessment of Long-term Postoperative Hyperpigmentation in Patients With Apocrine Gland-eliminated Osmidrosis Surgery.

IF 1.5 Q3 SURGERY

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-01-10 eCollection Date: 2025-01-01 DOI:10.1097/GOX.0000000000006424

Wen-Tsao Ho

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Abstract

Background: Radical surgery is the best treatment for axillary osmidrosis to eliminate the apocrine glands. However, marked postoperative hyperpigmentation may occur. Clinicians need an objective skin pigmentation examination to identify and treat hyperpigmentation. In this study, we aimed to use the Taylor Hyperpigmentation Scale (an objective visual scale) for evaluating long-term hyperpigmentation after osmidrosis surgery.

Methods: Twenty female patients with Fitzpatrick skin type III-IV who had undergone osmidrosis surgery were included in this study.

Results: The findings demonstrated that although there is an initial variation in the intensity of hyperpigmentation, in the majority of patients, there is a peak in hyperpigmentation between the third and sixth months after surgery. This is then followed by a gradual decline over the ensuing months. Some patients resolve hyperpigmentation completely, suggesting reversibility.

Conclusions: These results can help guide patient expectations and provide suitable postoperative management, thereby improving patient satisfaction and overall quality of life.

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客观评估凋亡性腺鞘膜积液手术患者术后长期色素沉着。

背景：根治性手术消除大汗腺是治疗腋臭的最佳方法。然而，术后可能出现明显的色素沉着。临床医生需要客观的皮肤色素沉着检查来识别和治疗色素沉着。在这项研究中，我们的目的是使用泰勒色素沉着量表（一种客观的视觉量表）来评估汗臭手术后的长期色素沉着。方法：选取20例女性Fitzpatrick皮肤III-IV型患者，均行皮肤渗透手术。结果：研究结果表明，虽然色素沉着的强度在最初有变化，但在大多数患者中，色素沉着在手术后的第3至第6个月达到高峰。然后在接下来的几个月里逐渐下降。一些患者完全消除色素沉着，提示可逆性。结论：这些结果有助于指导患者期望，提供合适的术后管理，从而提高患者满意度和整体生活质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Plastic and Reconstructive Surgery Global Open SURGERY-

CiteScore

2.20

自引率

13.30%

发文量

1584

审稿时长

10 weeks

期刊介绍： Plastic and Reconstructive Surgery—Global Open is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery.Plastic and Reconstructive Surgery—Global Open publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types. Manuscript submission is open to all surgeons, researchers, and other health care providers world-wide who wish to communicate their research results on topics related to plastic and reconstructive surgery. Furthermore, Plastic and Reconstructive Surgery—Global Open, a complimentary journal to Plastic and Reconstructive Surgery, provides an open access venue for the publication of those research studies sponsored by private and public funding agencies that require open access publication of study results. Its mission is to disseminate high quality, peer reviewed research in plastic and reconstructive surgery to the widest possible global audience, through an open access platform. As an open access journal, Plastic and Reconstructive Surgery—Global Open offers its content for free to any viewer. Authors of articles retain their copyright to the materials published. Additionally, Plastic and Reconstructive Surgery—Global Open provides rapid review and publication of accepted papers.