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Outcome of trans-axillary approach for surgical decompression of thoracic outlet: a retrospective study in a tertiary care hospital.
[thoracic outlet syndrome]
The
aim
of
this
study
was
to
evaluate
the
trans-axillary
surgical
approach
in
patients
with
thoracic
outlet
syndrome
.
This
retrospective
study
is
comprised
of
data
acquired
from
January
1998
until
Oct
2008
.
Case
histories
of
all
the
patients
were
reviewed
from
the
Medical
Records
Department
of
Sher-i-
Kashmir
Institute
.
Relevant
information
and
follow-up
of
the
patients
was
carried
out
by
examining
the
relevant
clinical
notes
available
by
telephone
interviews
and
personal
contact
whenever
possible
.
All
data
was
compiled
and
analyzed
statistically
.
There
were
a
total
of
139
patients
.
The
female
:
male
ratio
was
about
6
:
1
.
Pain
was
the
most
common
presenting
symptom
followed
by
weakness
and
parasthesia
.
Nerve
conduction
velocity
was
abnormal
in
111
patients
.
Twenty
-
eight
patients
had
abnormal
Doppler
study
of
subclavian
vessels
.
Preoperative
symptoms
persisted
in
13
patients
.
Overall
,
126
patients
showed
improvement
in
symptoms
and
no
recurrence
or
persistence
of
symptoms
on
follow-up
examination
.
Trans-axillary
approach
provides
a
good
exposure
and
cosmesis
in
patients
with
thoracic
outlet
syndrome
.
It
should
be
considered
as
the
gold
standard
in
the
management
of
thoracic
outlet
syndrome
.
Diseases
Validation
Diseases presenting
"pain"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
aniridia
aromatase deficiency
carcinoma of the gallbladder
cholangiocarcinoma
coats disease
congenital diaphragmatic hernia
congenital toxoplasmosis
cushing syndrome
cutaneous mastocytosis
cystinuria
dedifferentiated liposarcoma
dentin dysplasia
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial mediterranean fever
focal myositis
hirschsprung disease
hodgkin lymphoma, classical
holt-oram syndrome
junctional epidermolysis bullosa
kabuki syndrome
kindler syndrome
lamellar ichthyosis
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
malignant atrophic papulosis
neuralgic amyotrophy
oligodontia
oral submucous fibrosis
papillon-lefèvre syndrome
phenylketonuria
pleomorphic liposarcoma
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
scrub typhus
sneddon syndrome
systemic capillary leak syndrome
thoracic outlet syndrome
trochlear dysplasia
typhoid
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
wolf-hirschhorn syndrome
This symptom has already been validated