Point/counterpoint: Supraclavicular decompression is the best approach for neurogenic thoracic outlet syndrome

Francis J. Caputo, Robert W. Thompson

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

1 Scopus citations

Abstract

In this point/counterpoint chapter, we present the view that supraclavicular decompression is the best approach for the surgical treatment of neurogenic thoracic outlet syndrome (TOS). This is based on consideration of the limitations and deficiencies of transaxillary first rib resection, as well as the advantages of supraclavicular decompression. Potential complications are discussed along with the results of treatment. We conclude that in the hands of surgeons with experience and expertise, supraclavicular decompression offers the most thorough, versatile and safe approach to the treatment of neurogenic TOS, and it has the flexibility to be applicable to all other forms of TOS and intraoperative contingencies.

Original languageEnglish
Title of host publicationThoracic Outlet Syndrome
Subtitle of host publicationSecond Edition
PublisherSpringer International Publishing
Pages375-385
Number of pages11
ISBN (Electronic)9783030550738
ISBN (Print)9783030550721
DOIs
StatePublished - Jan 25 2021

Keywords

  • Brachial plexus neurolysis
  • Cervical rib resection
  • First rib resection
  • Neurogenic thoracic outlet syndrome
  • Scalenectomy
  • Supraclavicular exposure
  • Surgical techniques

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