Abstract: 【Abstract】 Objective To compare clinical efficacy and safety of microwave therapy versus suction-curettage through small incisions in the treatment of axillary osmidrosis. Methods Totally, 60 patients with axillary osmidrosis were enrolled from Department of Dermatology, Xijing Hospital, Fourth Military Medical University from January 2017 to February 2018. Every patient received miraDry microwave therapy on the left axillary （microwave therapy group） and suction-curettage through small incisions on the right axillary （suction-curettage group）, and operation duration was recorded. After follow-up of half a year, clinical efficacy and complications were compared between the two groups. Results After 6-month follow-up, no significant differences were observed in the response rate or recurrence rate between the microwave therapy group （93.33%［56/60］, 6.67%［4/60］） and suction-curettage group （96.67%［58/60］, 3.33% ［2/60］; both P > 0.05）. However, the incidence rate of postoperative complications was significantly lower in the microwave therapy group （0） than in the suction-curettage group （6.67% ［4/60］; χ2 = 4.138， P = 0.042）. Conclusion Compared with suction-curettage through small incisions, microwave therapy has advantages of being non-invasive and less postoperative complications.

Key words: Bromidrosis, Microwaves, Curettage, Treatment outcome, Suction-curettage through small incisions