Abstract
Introduction: Thoracic Outlet Syndrome (TOS) is clinical syndrome refers to abnormal compression of the neurovascular in the neck and axilla with signs and symptoms manifesting in the shoulders, neck, arms, hands and sometimes fingers. It may be underdiagnosed because this syndrome was poorly understood. The compression is primarily neurogenic, vascular or both. As the number of patients undergoing successful treatment increases, TOS is becoming a common diagnosis. In those patients in whom pain is refractory to conservative care, surgery should be considered. The aim of this study is to evaluate the outcome of supraclavicular approach to treat the thoracic outlet syndrome (TOS) patients in RSAL dr. Ramelan Surabaya Hospital.
Materials and methods: This study is a case series of 16 patients ( 10 females and 6 males) with age ranging from 19-57 years underwent neurovascular compression with supraclavicular approach. Symptoms was evaluated with medical records based on anamnesis, physical examination pre-operative , post-operative and imaging studies.
Results: Following-up of 16 patients with supraclavicular approach showed excellent results, decreasing pain and sensoric or motoric symptoms and complications like pneumothorax hematothorax, injury of artery, vein or brachial plexus have not found.
Conclusion: Supraclavicular approach relatively effective and safe to neurovascular decompression of TOS and have excellent outcome with small incision, safe and minimal complications.