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Updated: Feb 16, 2026

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
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[Neurogenic thoracic outlet syndrome].

J A W Teijink1, N Pesser, R van Grinsven

  • 1Catharinaziekenhuis Eindhoven.

Nederlands Tijdschrift Voor Geneeskunde
|December 16, 2017
PubMed
Summary

Neurogenic thoracic outlet syndrome (nTOS) is caused by brachial plexus compression, leading to arm, head, and neck symptoms. Transaxillary thoracic outlet decompression is a safe and effective treatment for nTOS, despite diagnostic challenges.

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Area of Science:

  • Neurology
  • Vascular Surgery
  • Anatomy

Background:

  • Neurogenic thoracic outlet syndrome (nTOS) involves brachial plexus compression, causing upper extremity, head, and neck symptoms.
  • Diagnosis and treatment are complex due to limited literature and nomenclature issues, often leading to delayed diagnosis.

Observation:

  • Two patients, aged 16 and 34, with nTOS were diagnosed using recent reporting standards.
  • A multidisciplinary approach was employed for diagnosis.

Findings:

  • Transaxillary thoracic outlet decompression (TOD) was performed on both patients.
  • Treatment of nTOS was demonstrated to be safe and effective in the short and long term.

Implications:

  • Standardized diagnostic criteria improve nTOS identification.
  • Transaxillary TOD offers a viable and effective treatment option for nTOS patients.
  • Further research is needed to address the complexities in nTOS diagnosis and treatment.