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논문 기본 정보

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학술저널
저자정보
Jeeyoon Kim (Department of Plastic and Reconstructive Surgery Uijeongbu St. Mary's Hospital Uijeongbu-si Gyeonggi-do Republic of Korea) 서보미 (가톨릭대학교 의정부성모병원 성형외과) Junho Lee (1Department of Plastic and Reconstructive Surgery Uijeongbu St.Mary’s Hospital) 정성노 (가톨릭대학교 의정부성모병원 성형외과)
저널정보
대한미용성형외과학회 Archives of Aesthetic Plastic Surgery Archives of Aesthetic Plastic Surgery Vol.29 No.1
발행연도
2023.1
수록면
29 - 34 (6page)

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ackground Axillary osmidrosis is a disease characterized by axillary malodor. The con ventional treatment method of subdermal excision uses Metzenbaum scissors. Recent ly, subdermal excision using the Versajet system was introduced. However, it is an ex pensive surgical tool, and a recent study demonstrated a higher frequency of axillary skin necrosis with the Versajet. We propose a novel, cost-effective, and safe subdermal excision method that utilizes an electrosurgical tip cleaner (ETC). Methods Our retrospective cohort study included 27 patients who underwent subder mal excision from June 2012 to November 2021. The patients were classified into three groups according to the surgical method: Metzenbaum scissors, Versajet, and ETC. The operation time, hospitalization cost, and postoperative complications were investigated. Results The number of patients in the Metzenbaum scissors, Versajet, and ETC groups was seven, eleven, and nine, respectively. The mean operation time and hospitalization cost were significantly different among the three groups (P<0.05). The longest mean operation time was observed in the Metzenbaum scissors group (112.9±23.6 minutes), followed by the ETC and Versajet groups (76.4±27.1 and 64.2±24.8 minutes, respective ly). The most expensive method was the Versajet ($2,346.1±517.7), followed by the ETC and Metzenbaum scissors ($1,391.8±317.7 and $1,279.6±287.5, respectively). No postop erative complications were observed. Conclusions The ETC is a novel method of subdermal excision, comparable to Metzen baum scissors or Versajet. Therefore, it is recommended for situations where it is nec essary to consider both the time and cost of surgery.

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