Eur J Plast Surg (2017) 40:187–194 DOI 10.1007/s00238-016-1255-x ORIGINAL PAPER Thoracic outlet syndrome: evaluation of clinical features and long-term outcomes after scalenotomy 1,2 3 4 Mindaugas Jasinskas & Tautvydas Urbonas & Mindaugas Minderis Received: 21 September 2016 /Accepted: 20 October 2016 /Published online: 6 December 2016 Springer-Verlag Berlin Heidelberg 2017 Abstract average. Patients’ satisfaction with the results was evaluated Background Thoracic outlet syndrome (TOS) is a very com- as (%) follows: excellent (50.0), good (33.0), fair (15.0) and plicated and diverse pathology including a range of symptoms poor (2.0). related to the upper limb, neck, head, and other symptoms. Conclusions Anterior scalenotomy is an effective operative This study was aimed to evaluate the long-term results of method to treat TOS. anterior scalenotomy in patients with TOS. Level of Evidence: Level IV, therapeutic study. Methods We examined patients that were operated on 2007– 2011. The rate of symptoms was evaluated from medical re- . . Keywords Thoracic outlet syndrome TOS Anterior cords. Changes in pain, tactile sensation, strength of a hand- scalenotomy grip, muscle wasting and patient’s satisfaction were evaluated postoperatively. Results Seventy-seven patients returned to follow-up evalua- tion (23 patients were treated for bilateral plexopathy). The Introduction mean follow-up
European Journal of Plastic Surgery – Springer Journals
Published: Dec 6, 2016
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