Brachial plexus injury after microwave-based treatment for axillary hyperhidrosis and osmidrosis. (3rd October 2017)

• Record Type: Journal Article
• Authors: Chang, Chun-Kai; Chen, Chun-Yu; Hsu, Kuo-Feng; Chiu, Han-Ting; Chu, Tzi-Shiang; Liu, Hung-Hui; Goh, Meng-Xun; Chen, Shyi-gen
• Is Part Of: Journal of cosmetic and laser therapy. Volume 19:Number 7(2017:Dec.)
• Page Start: 439
• Page End: 441
• Publication Date: 2017-10-03
• Subjects: Complication -- hyperhidrosis/osmidrosis -- microwave -- neuropathy; Skin -- Laser surgery -- Periodicals; Surgery, Plastic -- Periodicals; 617.477
• DOI: 10.1080/14764172.2017.1342039
• Languages: English
• ISSNs: 1476-4172

Abstract

ABSTRACT: Axillary hyperhidrosis combined with osmidrosis is a common problem, especially in Asian communities, that patients find annoying. Even though several surgical techniques have been reported to treat hyperhidrosis/osmidrosis permanently, patients would prefer a non-surgical approach. A microwave-based device was invented during this decade, and it has proven to be a safe and efficient way to treat axillary hyperhidrosis/osmidrosis without major complications. Mild complications reported are vacuum-associated marks, oedema, tenderness and temporary altered skin sensation. We herein report a rare case of brachial plexus injury with sensory and motor dysfunction that occurred after microwave-based treatment. The patient did not fully recover after 6 months of rehabilitation. Our case suggests that a lower initial energy level should be used for thin patients with less fat tissue on the underarm areas, regardless of the patient's sex.