Transaxillary approach in surgery for thoracic outlet syndrome

Kaplan, Tevfik; Han, Serdar

doi:10.5152/tcb.2013.016

Cited by 3 publications

(9 citation statements)

References 1 publication

(3 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…TOS may be due to many reasons affecting the area including bony anomalies, presence of anomalous soft tissue structures, fractures, inflammation, and local invasion of malignancies [1,[4][5][6][10][11][12]. In our series 14 patients had cervical rib, and eight patients had overgrown C7 transverse process.…”

Section: Discussionmentioning

confidence: 98%

“…Yet, the treatment of choice is recommended as physiotherapy followed by surgery [1,2,5,6,8,12]. Surgical removal of the anomalous structures is mostly performed using either trans-axillary or supraclavicular approach [1,2,[5][6][7][8][9][10][11][12].…”

Section: Discussionmentioning

confidence: 99%

“…Others advocate trans-axillary approach especially in female patients [3,[5][6][7][8][9][10]. Trans-axillary approach provides adequate surgical exposure for resection of the first rib, the cervical rib, if present, the soft tissue structures and membranes, and neurolysis in experienced hands.…”

Section: Discussionmentioning

confidence: 99%

“…Trans-axillary approach provides adequate surgical exposure for resection of the first rib, the cervical rib, if present, the soft tissue structures and membranes, and neurolysis in experienced hands. Complications are rare and limited to pneumothorax, vascular injury, nerve injury, and wound infection [1,[3][4][5][6][7][8][9][10][11][12]. In our series all patients were operated using trans-axillary approach.…”

Section: Discussionmentioning

confidence: 99%

“…NTOS presents a challenge in treatment as the real reason is not always clear. Nevertheless, the surgical treatment of NTOS comprises resection of the first rib, anomalous soft tissue structures, and the cervical rib, if present, using either a trans-axillary or a supraclavicular approach [1,2,[4][5][6][7][8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Trans-axillary approach in surgery for thoracic outlet syndrome

Yalcinkaya¹,

Eris²,

Goncu³

2016

Eur Res J

View full text Add to dashboard Cite

Background. Thoracic outlet syndrome may be due to various reasons and be classified as neurogenic, arterial, and venous thoracic outlet syndrome. The surgical treatment of neurogenic thoracic outlet syndrome can be performed using either a trans-axillary or a supraclavicular approach. The aim of this study is to report on such patients operated in a single institution by a single thoracic surgeon using trans-axillary approach. Methods. The patient files were screened for patients operated due to neurogenic thoracic outlet syndrome related symptoms between September 1, 2002 and April 1, 2015 in the Department of Thoracic Surgery of Bursa Yuksek Ihtisas Training and Research Hospital. Results. There were 22 female and five male patients with an average age of 31.9±11.7 years. The most common symptom was pain in the affected limb and shoulder (n=29). Of the diagnostic maneuvers abduction external rotation (Roos) test was the most frequently found positive test (n=27). Nerve conduction velocity studies revealed an average ulnar nerve conduction velocity of 62.7±6.6 m/s. Limited pneumothorax uneventfully resolved in 2 days was seen following 12 operations. Conclusion. We conclude that trans-axillary approach may provide good exposure with favorable opportunity to excise the 1st and the cervical rib, and neurolysis with a low rate of complication.

show abstract

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Trans-axillary approach in surgery for thoracic outlet syndrome

Yalcinkaya¹,

Eris²,

Goncu³

2016

Eur Res J

View full text Add to dashboard Cite

show abstract

Incidental Discovery of a Cervical Rib in a Case of Acute Cholecystitis: A Rare Anatomical Variant

Navandhar,

Gharde,

Shinde

et al. 2024

Cureus

View full text Add to dashboard Cite

This case report discusses the incidental discovery of a cervical rib in a 53-year-old woman presenting with acute cholecystitis. While cervical ribs are rare, their identification holds clinical significance due to their potential implications for vascular compression or thoracic outlet syndrome. Despite the patient's primary complaint of cholecystitis, a chest X-ray incidentally revealed the cervical rib. This finding underscores the importance of a thorough radiographic examination. The report discusses similar cases, emphasizing varying clinical presentations and associated vascular complications. The case highlights the necessity for a comprehensive assessment of incidental findings to ensure holistic patient care and management, emphasizing the importance of considering anatomical variants in clinical practice.

show abstract

Incidence of Upper Extremity Neuropathies at a Single Tertiary Care Institution in the United States: Trends in Recent Years, Including the COVID-19 Pandemic

Faust,

Donnelly,

Habibi

et al. 2024

Cureus

View full text Add to dashboard Cite

Objective: This study examined trends in upper extremity (UE) neuropathies at a large urban tertiary care center in the Northeastern United States over the past five years, including the period of the COVID-19 pandemic.Method: A retrospective medical record review was conducted from 2018 to 2022. We collected data from unique patient records identified using International Classification of Diseases, Tenth Revision (ICD-10) codes for UE neuropathies. We characterized subjects by age, demographics, and duration of symptoms.Results: This study included 288 pediatric patients and 51,997 adult patients newly diagnosed with UE neuropathy. Most patients were aged 55+; 0.4% of all patients diagnosed with UE neuropathy were children. Across all ages, there was an overall increase in UE neuropathy diagnoses in the past five years, with the most noticeable increases from 2018 to 2019 (+5,761 diagnosed individuals, or +122%) and from 2020 to 2021 (+2,769 diagnosed individuals, or +28.8%). Conclusion: Our institution's UE neuropathy diagnoses have increased in the past five years. Of note, there was a significantly increased rate of UE neuropathy diagnoses from 2020 to 2021. This increase coincides with the COVID-19 pandemic, which is leading to a changing environment for many Americans. These societal changes will likely become indelible after the pandemic; safety practices should be enacted to avoid these debilitating neuropathies.

show abstract

Transaxillary approach in surgery for thoracic outlet syndrome

Cited by 3 publications

References 1 publication

Trans-axillary approach in surgery for thoracic outlet syndrome

Trans-axillary approach in surgery for thoracic outlet syndrome

Incidental Discovery of a Cervical Rib in a Case of Acute Cholecystitis: A Rare Anatomical Variant

Incidence of Upper Extremity Neuropathies at a Single Tertiary Care Institution in the United States: Trends in Recent Years, Including the COVID-19 Pandemic

Contact Info

Product

Resources

About