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TOS-surgery via a single supraclavicular incision
Acta Neurochirurgica. Supplement
|November 8, 2007
Summary
A single supraclavicular incision offers effective surgical access for Thoracic Outlet Syndrome (TOS), providing pain relief and functional improvement with minimal scarring. This approach addresses brachial plexus and subclavian artery compression effectively.
Area of Science:
- Neurosurgery
- Vascular Surgery
- Thoracic Surgery
Background:
- Thoracic Outlet Syndrome (TOS) surgery.
- Single supraclavicular incision approach.
Purpose of the Study:
- Evaluate the efficacy and outcomes of a single supraclavicular incision for TOS surgery.
- Assess patient recovery, complications, and cosmetic results.
Main Methods:
- 10 patients (12 procedures) with TOS underwent surgery via a single supraclavicular incision.
- Procedures included brachial plexus decompression, scalenotomy, and in some cases, cervical or first rib resection.
- Diagnostic imaging (X-ray, MRI-angiography) identified cervical ribs and subclavian artery stenosis.
Main Results:
- No significant surgical complications were reported.
- All patients experienced symptom relief within 6 months, including improved nerve regeneration.
- One case of TOS recurrence occurred 10 months post-surgery.
Conclusions:
- The single supraclavicular incision provides adequate surgical access for TOS.
- The procedure effectively relieves pain, restores extremity function, and results in a cosmetically pleasing scar.
