Can an 11-Year-Old Girl Undergo Axillary Gland Removal for Severe Odor?

Can an 11-year-old fifth-grade girl undergo an adenoidectomy or adenoid curettage?

Hello.
My daughter has severe axillary odor.
I have undergone sweat gland removal myself, but the doctor did not explain clearly that it would not be effective for true hyperhidrosis.
I am now experiencing compensatory sweating and deeply regret my decision.
Therefore, I cannot allow my daughter to undergo sweat gland removal.
Is it possible for an 11-year-old girl in the 5th grade to undergo apocrine gland removal or scraping?

Lin Mama, 30~39 year old female. Ask Date: 2003/07/05

Dr. Luo Qihua reply Plastic Surgery

The surgery you underwent was likely a thoracoscopic surgery, not an axillary gland excision.
It primarily targets palmar hyperhidrosis; however, it is not very effective for axillary odor, and the compensatory sweating that follows can be quite bothersome.
The truly effective procedure is the removal of the apocrine glands (i.e., axillary glands).
The onset of axillary odor typically begins when children enter puberty, at which point axillary hair starts to develop, and the distribution of apocrine glands roughly corresponds to the area of axillary hair.
Therefore, if axillary hair has already grown, the physician has a clear indication to perform a more thorough excision or curettage procedure.

Reply Date: 2003/07/05

More Info

When considering whether an 11-year-old girl can undergo axillary gland removal (also known as axillary sweat gland excision) for severe body odor, there are several factors to take into account. First and foremost, it is essential to understand the nature of the condition, the implications of the surgery, and the potential alternatives available.

Understanding Axillary Gland Removal:
Axillary gland removal is a surgical procedure aimed at reducing or eliminating excessive sweating (hyperhidrosis) and associated body odor. This procedure involves the excision of sweat glands located in the armpit area. While it can be effective for some individuals, it is not without risks and potential complications, including infection, scarring, and changes in skin sensation. Additionally, there is a possibility that the procedure may not completely resolve the issue, as some patients may continue to experience odor or may develop compensatory sweating in other areas of the body.

Age Considerations:
At 11 years old, a girl is still in a stage of development where hormonal changes can significantly affect body odor and sweating patterns. It is important to consider that many adolescents experience changes in body odor as they go through puberty, and these changes may improve over time without the need for surgical intervention. Therefore, it may be prudent to explore non-surgical options first before considering a more invasive procedure.

Alternatives to Surgery:
Before opting for axillary gland removal, it is advisable to explore other treatment options for managing severe body odor. These may include:
1. Topical Antiperspirants: Over-the-counter or prescription-strength antiperspirants can be effective in reducing sweating and controlling odor. These products often contain aluminum chloride, which helps block sweat glands.

2. Lifestyle Modifications: Encouraging good hygiene practices, wearing breathable fabrics, and avoiding certain foods that can exacerbate body odor (like spicy foods or those high in sulfur) may help manage the condition.

3. Botox Injections: Botulinum toxin injections can temporarily block the nerves that cause sweating. This treatment has been shown to be effective for hyperhidrosis and may be a less invasive option than surgery.

4. Medications: Oral medications that reduce sweating, such as anticholinergics, may also be considered.

5. Counseling: If the body odor is causing significant emotional distress, counseling or therapy may be beneficial to help the child cope with any social anxiety or self-esteem issues.

Consultation with a Specialist:
If considering surgical options, it is crucial to consult with a pediatric dermatologist or a surgeon who specializes in hyperhidrosis. They can provide a thorough evaluation, discuss the potential risks and benefits of surgery, and help determine the most appropriate course of action based on the child's specific situation.

In conclusion, while axillary gland removal is a potential option for managing severe body odor, it is essential to weigh the risks and benefits, especially in a young patient. Exploring non-surgical alternatives and consulting with a specialist can provide a more comprehensive approach to addressing the issue. It is important to prioritize the child's overall well-being and to consider all available options before making a decision.

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