Brachial plexus injury after microwave-based treatment for axillary hyperhidrosis and osmidrosis
Chang, C-Kai.; Chen, C-Yu.; Hsu, K-Feng.; Chiu, H-Ting.; Chu, T-Shiang.; Liu, H-Hui.; Goh, M-Xun.; Chen, S-Gen.
Journal of Cosmetic and Laser Therapy 19(7): 439-441
2017
ISSN/ISBN: 1476-4172 PMID: 28657370 Document Number: 693700
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.