Brachial Plexus Wrapping by Free Perforator Fat Flap for Treatment of Recurrent Neurogenic Thoracic Outlet Syndrome:

F Thuau1,2, G Gadbled3, B Pradier4

  • 1Plastic Reconstructive, and Aesthetic Surgery Department, CHU Nantes Nantes University Nantes France.

Clinical Case Reports
|June 26, 2026
PubMed

A 35-year-old woman with recurrent neurogenic thoracic outlet syndrome underwent supraclavicular neurolysis and brachial plexus wrapping using a free DIEP flap. At 2-year follow-up, pain and functional scores (VAS, DASH, SF-36) significantly improved. Free fat flaps offer a low morbidity option for reducing perineural fibrosis in RNTOS.