Transaxillary Approach for Thoracic Outlet Syndrome: Results of Surgery

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dc.authoridtarladacalisir, taner/0000-0003-0499-341X
dc.authoridkaramustafaoglu, yekta altemur/0000-0002-5491-1219
dc.authoridYORUK, YENER/0000-0001-6309-3054
dc.authorwosidYoruk, Yener/W-4285-2017
dc.authorwosidtarladacalisir, taner/HGE-7061-2022
dc.authorwosidkaramustafaoglu, yekta altemur/S-9512-2019
dc.contributor.authorKaramustafaoglu, Y. A.
dc.contributor.authorYoruk, Y.
dc.contributor.authorTarladacalisir, T.
dc.contributor.authorKuzucuoglu, M.
dc.date.accessioned2024-06-12T11:16:16Z
dc.date.available2024-06-12T11:16:16Z
dc.date.issued2011
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground: Thoracic outlet syndrome (TOS) is one of the most complicated diseases in thoracic surgery with regard to both diagnosis and treatment. Surgical removal of the first rib and cervical rib, if present, has been suggested as the treatment of choice in patients who do not benefit from physiotherapy. In this retrospective study, our surgical experience with TOS and the management of surgical complications are presented. Methods: A total of 109 cases with the diagnosis of TOS were operated on between January 1995 and April 2010. Ninety-five of the cases were females (87.2%) and 14 (12.8%) were males with a mean age of 35.7 (16-58). Results: A total of 131 operations were performed, of which 21 were bilateral and one was a recurrent operation. The diagnosis was neurogenic TOS in 107 (98.2%) and vascular TOS in two (1.8%) patients. All neurogenic TOS operations were performed via the transaxillary route. A posterior thoracoplasty approach was used for recurrent TOS in one case. A total of 23 (21.1%) cases had a cervical rib. Fibromuscular bands were observed in 68 (62.3%) cases. The rates for favorable and poor surgical outcome were 125 (95.4%) and 6 (4.6%), respectively. The most common complication was apical pneumothorax in 32 (24.6%) cases, followed by wound infection in four (3%), lymphatic leak, axillary hematoma and mild brachial plexus traction palsy in one (0.8%) case. Mortality was not observed. Conclusions: In our experience the exposure provided by the transaxillary approach is safe and superior to that offered by other approaches as it allows a wide range of surgical applications such as first rib resection, cervical rib resection and resection of fibrotic bands.en_US
dc.identifier.doi10.1055/s-0030-1250480
dc.identifier.endpage352en_US
dc.identifier.issn0171-6425
dc.identifier.issn1439-1902
dc.identifier.issue6en_US
dc.identifier.pmid21409745en_US
dc.identifier.scopus2-s2.0-80052668323en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage349en_US
dc.identifier.urihttps://doi.org/10.1055/s-0030-1250480
dc.identifier.urihttps://hdl.handle.net/20.500.14551/24262
dc.identifier.volume59en_US
dc.identifier.wosWOS:000294662500006en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherGeorg Thieme Verlag Kgen_US
dc.relation.ispartofThoracic And Cardiovascular Surgeonen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectThoracic Surgeryen_US
dc.subjectThoracic Outleten_US
dc.subjectSurgeryen_US
dc.subjectThoracic Outlet Syndromeen_US
dc.subjectSurgical Outcomeen_US
dc.subjectTransaxillary Approachen_US
dc.subjectComplicationsen_US
dc.subjectResectionen_US
dc.subjectManagementen_US
dc.titleTransaxillary Approach for Thoracic Outlet Syndrome: Results of Surgeryen_US
dc.typeArticleen_US

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