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Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
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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
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.
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.
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