Supraclavicular approach for thoracic outlet decompression

Abstract

Supraclavicular decompression of the thoracic outlet was performed in 40 patients with symptoms arising from brachial plexus compression and irritation. Both osseous and soft tissue structures responsible for this nerve compression were identified and removed without significant neurologic morbidity despite a 25% incidence of secondary operative procedures in this series. The cure or improvement rate matched what we previously reported for combined transaxillary and supraclavicular approach. Further follow-up will allow a determination of the durability of this technique, which, if acceptable, will justify a confident recommendation for its adoption in patients having thoracic outlet decompression.