바로가기 메뉴
본문내용 바로가기
하단내용 바로가기

논문검색

학회지 > 논문검색
논문 검색
Dae Won Lim, M.D.1, Jun Park, M,D.1, Young Cheun You, M.D.1,Won Yong Yang, M.D.1, Won Lee, M.D.2
1Department of Plastic and Reconstructive Surgery, College of Medicine, Kyung Hee University2Department of Plastic and Reconstructive Surgery, College of Medicine, Pochon CHA University
The Effectiveness of Fibrin Glue Using in Dermal Shaving at Osmidrosis
J Korean Soc Aesth Surg 2005 (Mar) 011(15) 93-98
Osmidrosis, Fibrin glue
Ksaps011-01-15.pdf Ksaps011-01-15.pdf
Axillary osmidrosis is caused by excessive secretion of apocrine gland, which causes an acidic spicy odor and social embarrassment. Recently, many kinds of treatment for osmidrosis are introduced, but one of the conventional surgical method, dermal shaving is still the most effective method for osmidrosis. But it is often accompanied by complications like seroma, hematoma, necrosis, large scar, and long immobilization period. So, to reduce these disadvantages, we used fibrin glue which has the effect of reducing hematoma, encouraging capillary ingrowth by reinforcement of the flap fixation. Then, we compared the dermal shaving with fibrin glue spraying group with only dermal shaving group by retrospective study for clinical effect. From January 2001 to January 2005, a total of 56 patients were underwent dermal shaving operation for treatment of osmidrosis. Fibrin glue using group, the study group was 11 patients, 22 cases and dermal shaving only group without using fibrin glue, the control group was 45 patients, 90 cases. During operation, fibrin glue was sprayed after dermal shaving, just before completing skin closure. We compared the data from the view point of complications, the time for graft take(pressure dressing) and total occlusive dressing period(immobilzation period). Complication rate was lower in study group. There was 1 case of hematoma in the study group (4.5%), and 10 cases of hematoma, 1 case of seroma and 1 case of partial necrosis in the control group(13.3%). In both group, hematoma was the most common complication. The time for graft take were shorter in the study group than the control group(11.6 vs 13.6 days) and total dressing period was shorter in study group, too(14.3 vs 17.7 days). Statistically, significant difference was found in both the time for graft take and total dressing period. Using fibrin glue in dermal shaving was effective for lowering complication rate, reducing the time for graft take and total dressing period.
임대원1·박 준1·유영천1·양원용1·이 원2
경희대학교 의과대학 성형외과학교실1, 포천중문 의과대학 성형외과학교실2
피부밑조직삭제법을 이용한 땀악취증 치료 시 Fibrin Glue의 유용성
2005 (Mar) 011(15) 93-98