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Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
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How Common Is Thoracic Outlet Syndrome?

Karl A Illig1, Eduardo Rodriguez-Zoppi2

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|November 22, 2020
PubMed
Summary
This summary is machine-generated.

The incidence of neurogenic thoracic outlet syndrome (nTOS) is estimated at 3 per 100,000 yearly, a figure lower than previously thought. This study provides crucial data on nTOS and venous thoracic outlet syndrome (vTOS) incidence and ratios.

Keywords:
Neurogenic versus venous TOS proportionsTOS incidenceThoracic outlet syndrome

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Area of Science:

  • Vascular Surgery
  • Neurology
  • Epidemiology

Background:

  • Neurogenic thoracic outlet syndrome (nTOS) incidence is unknown and likely overestimated.
  • Previous estimates lack robust epidemiological data.

Purpose of the Study:

  • To accurately estimate the yearly incidence of nTOS and venous thoracic outlet syndrome (vTOS).
  • To determine the ratio of nTOS to vTOS based on clinical presentation and surgical correction.

Main Methods:

  • Prospective data collection at an academic Thoracic Outlet Center.
  • Analysis of a maintained patient database.

Main Results:

  • Estimated yearly incidence of nTOS is approximately 3 per 100,000 population.
  • Estimated yearly incidence of vTOS is approximately 1 per 100,000 population.
  • The ratio of nTOS to vTOS is approximately 80:20 by presentation and 75:25 by operative correction.

Conclusions:

  • nTOS is less common than previously believed.
  • These incidence data are vital for understanding the impact of TOS and guiding resource allocation.
  • Accurate epidemiological data are essential for managing these vascular and neurological conditions.