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Surgical Management of Thoracic Outlet Syndrome by D. Monbaliu; N. Talbot; E. Ragi; P. G. Niblett; A. Peters; J. F. Thompson is a Medicine article available to read on EtoBox.

What is Surgical Management of Thoracic Outlet Syndrome about?

## Abstract ## Background The role of surgical decompression for thoracic outlet syndrome (TOS) is not clearly established, especially for the neurological (N-TOS) or venous (V-TOS) variants. Reports lack objective diagnostic criteria and follow-up. American series almost exclusively describe N-TOS. In the authors' practice, arterial TOS (A-TOS) is much more common. Patients are treated by a multidisciplinary team and surgery is reserved for those failing to respond to conservative measures. ## Methods Data regarding assessment, diagnosis (clinical, radiology, electromyography, duplex) are collected prospectively on a database (Paradox). Independent follow-up has categorized surgical results by structured questionnaire. ## Results Of 129 patients (104 women; median age 37 years), 91 underwent transaxillary first rib resection (50 A-TOS, 31 N-TOS, ten V-TOS), 24 had a supraclavicular scalenectomy (rib resection; all N-TOS) and 14 had a combined procedure (five A-TOS, nine N-TOS). Eleven were reoperations. Early results (6 months) were available for 122 patients. Overall 91 per cent of patients with A-TOS rated the outcome as excellent/good, compared with 72 per cent of those with N-

Who reads Surgical Management of Thoracic Outlet Syndrome?

Author

D. Monbaliu; N. Talbot; E. Ragi; P. G. Niblett; A. Peters; J. F. Thompson

Publisher

John Wiley and Sons; Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley; Research Square; Oxford University Press (OUP) (ISSN 0007-1323)

Published

2000

Language

EN

Field

Medicine (Health Sciences)