scholarly journals Evaluation and Management of Neurogenic Thoracic Outlet Syndrome with an Overview of Surgical Approaches: A Comprehensive Review

2021 ◽  
Vol Volume 14 ◽  
pp. 3085-3095
Author(s):  
Christine Lim ◽  
Yasaman Kavousi ◽  
Ying Wei Lum ◽  
Paul J Christo
Keyword(s):  
Thoracic Outlet Syndrome ◽  
Surgical Approaches ◽  
Comprehensive Review ◽  
Neurogenic Thoracic Outlet Syndrome

scholarly journals A Comparison of Surgical Approaches for Cervical Rib Resection for Neurogenic Thoracic Outlet Syndrome

2014 ◽  
Vol 59 (2) ◽  
pp. 568
Author(s):  
Arjun Jayaraj ◽  
Audra A. Duncan ◽  
Manju Kalra ◽  
Thomas C. Bower ◽  
Peter Gloviczki
Keyword(s):  
Thoracic Outlet Syndrome ◽  
Surgical Approaches ◽  
Cervical Rib ◽  
Rib Resection ◽  
Neurogenic Thoracic Outlet Syndrome

scholarly journals Computed tomography-guided reoperation for neurogenic thoracic outlet syndrome

2015 ◽  
Vol 61 (2) ◽  
pp. 469-474 ◽  
Author(s):  
Joshua I. Greenberg ◽  
Kristen Alix ◽  
Mark R. Nehler ◽  
Robert J. Johnston ◽  
Charles O. Brantigan
Keyword(s):  
Computed Tomography ◽  
Thoracic Outlet Syndrome ◽  
Neurogenic Thoracic Outlet Syndrome

Diagnosis of Neurogenic Thoracic Outlet Syndrome Based on the Clinical Status

2021 ◽  
Author(s):  
Ji Sup Hwang ◽  
Jihyeung Kim ◽  
Shin Kim ◽  
Kee Jeong Bae ◽  
Yohan Lee ◽  
...  
Keyword(s):  
Thoracic Outlet Syndrome ◽  
Clinical Status ◽  
Neurogenic Thoracic Outlet Syndrome

Anatomically Complete Supraclavicular Reoperation for Recurrent Neurogenic Thoracic Outlet Syndrome: Clinical Characteristics, Operative Findings, and Long-term Outcomes

Hand ◽  
2021 ◽  
pp. 155894472098807
Author(s):  
Momodou L. Jammeh ◽  
J. Westley Ohman ◽  
Chandu Vemuri ◽  
Ahmmad A. Abuirqeba ◽  
Robert W. Thompson
Keyword(s):  
Thoracic Outlet Syndrome ◽  
Length Of Hospital Stay ◽  
Functional Improvement ◽  
Scalene Muscle ◽  
Neurogenic Thoracic Outlet Syndrome ◽  
First Rib ◽  
Previous Operation ◽  
Combined Operations ◽  
The Mean ◽  
Operative Findings

Background: The clinical outcomes of reoperations for recurrent neurogenic thoracic outlet syndrome (NTOS) remain undefined. Methods: From 2009 to 2019, 90 patients with recurrent NTOS underwent anatomically complete supraclavicular reoperation after previous operation(s) performed at other institutions using either supraclavicular (Prev-SC = 48), transaxillary (Prev-TA = 31), or multiple/combination (Prev-MC = 11) approaches. Prospectively maintained data were analyzed retrospectively. Results: The mean patient age was 39.9 ± 1.4 years, 72% were female, and the mean interval after previous operation was 4.1 ± 0.6 years. The mean Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score was 62 ± 2, reflecting substantial preoperative disability. Residual scalene muscle was present in 100% Prev-TA, 79% Prev-SC, and 55% Prev-MC ( P < .05). Retained/residual first rib was present in 90% Prev-TA, 75% Prev-SC, and 55% Prev-MC ( P < .05). There were no differences in operative time (overall 210 ± 5 minutes), length of hospital stay (4.7 ± 0.2 days), or 30-day readmissions (7%). During follow-up of 5.6 ± 0.3 years, the improvement in QuickDASH scores was 21 ± 2 (36% ± 3%) ( P < .01) and patient-rated outcomes were excellent in 10%, good in 36%, fair in 43%, and poor in 11%. Conclusions: Anatomically complete decompression for recurrent NTOS can be safely and effectively accomplished by supraclavicular reoperation, regardless of the type of previous operation. Residual scalene muscle and retained/residual first rib are more frequently encountered after transaxillary operations than after supraclavicular or multiple/combined operations. Supraclavicular reoperation can achieve significant symptom reduction and functional improvement for approximately 90% of patients with recurrent NTOS.

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