12/25/2023 0 Comments Thoracic outlet syndrome surgery scarsto expose the descending thoracic aorta (e.g. Oblique incision in any of the left intercostal spaces: Small stab incisions in the third or fourth intercostal spaces: 41 patients with thoracic outlet syndrome were rewieved retrospectively. Transverse incision above clavicle extending medially over sternocleidomastoid: This study aims to present the surgical outcomes of TOS patients treated with supraclavicular approach via microsurgery. Oblique incision in line with anterior border of sternocleidomastoid: Thoracic outlet syndrome is compression of the nerves or blood vessels in the space between your first rib, collarbone, and back muscles. Gradually you will build up pattern recognition however, it is not always possible to guess the exact operation from the scars, especially if the patient has had multiple trips to theatre. 1 PMS results from the brachial plexus being compressed under the pectoralis minor 2 while TOS involves compression of the bundle above the clavicle. Often two geographically quite distant scars can relate to the same operation because a bypass graft may be tunnelled between them (in these cases, always palpate between the scars because sometimes grafts are tunnelled subcutaneously). Pectoralis minor syndrome (PMS) is a condition related to thoracic outlet syndrome (TOS) that results from the pectoralis minor muscle being too tight. No scar is pathognomonic of a particular operation, and almost endless permutations of scars can exist together. Thirty-nine reoperations in 38 patients with recurrent symptoms of neurogenic thoracic outlet syndrome were performed by the supraclavicular approach. Our Thoracic Outlet Syndrome Program and Division of Thoracic Surgery provide world-leading diagnosis, treatment and care to patients with all forms of thoracic outlet syndrome (TOS), including neurogenic, venous and arterial TOS. Vascular scars can be very confusing to the uninitiated.
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