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Thoracic outlet syndrome.

F W Sellke1, T R Kelly

  • 1Department of Surgery, Akron City Hospital, Ohio.

American Journal of Surgery
|July 1, 1988
PubMed
Summary
This summary is machine-generated.

Surgical treatment for thoracic outlet syndrome offers over 90% symptom relief. Diagnosis relies on history and differential diagnosis, reserving surgery for persistent pain after conservative care.

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Area of Science:

  • Vascular Surgery
  • Neurosurgery
  • Orthopedic Surgery

Background:

  • Thoracic outlet syndrome (TOS) presents diagnostic challenges.
  • Conservative management is often insufficient for severe TOS.
  • Surgical intervention is considered for refractory cases.

Purpose of the Study:

  • To evaluate the efficacy of surgical treatment for TOS.
  • To outline a diagnostic and treatment protocol for TOS.
  • To identify the optimal surgical approach for TOS.

Main Methods:

  • Retrospective analysis of 473 patients with TOS.
  • Emphasis on thorough patient history and differential diagnosis.
  • Transaxillary first rib resection, fibromuscular band, and cervical rib removal.

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Main Results:

  • Over 90% of surgically treated patients experienced symptom relief.
  • Diagnostic imaging like angiography and EMG had limited utility.
  • Conservative therapy failure was a key criterion for surgical consideration.

Conclusions:

  • Surgical treatment is highly effective for TOS.
  • A systematic diagnostic approach is crucial for TOS.
  • Transaxillary first rib resection is the preferred surgical method for TOS.