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 language | English |
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Title of host publication | Thoracic Outlet Syndrome |
Subtitle of host publication | Second Edition |
Publisher | Springer International Publishing |
Pages | 375-385 |
Number of pages | 11 |
ISBN (Electronic) | 9783030550738 |
ISBN (Print) | 9783030550721 |
DOIs | |
State | Published - Jan 25 2021 |
Keywords
- Brachial plexus neurolysis
- Cervical rib resection
- First rib resection
- Neurogenic thoracic outlet syndrome
- Scalenectomy
- Supraclavicular exposure
- Surgical techniques