OBJECT: Different surgical approaches are available for the treatment of @entity531 ( @entity531 ). Our aim is to describe the transaxillary approach from a neurosurgical perspective, and to present the results in 15 @entity1 . METHODS AND RESULTS: Fifteen @entity1 (6 m and 9 f; mean age 44 yrs) were treated for @entity531 . Four @entity1 (26.7 %) demonstrated a cervical rib. The rest did not show a diagnosable @entity154 (73.3 %). Provocative tests were neurologically positive in all @entity1 (100 %); 4 @entity1 additionally demonstrated vascular symptoms (26.7 %). Six @entity1 demonstrated ulnar nerve F-wave latency (40 %). The transaxillary approach was used in all @entity1 . In three @entity1 with @entity6148 (20 %), an additional ventral approach was utilized. 14 @entity1 remain symptom-free at a mean follow-up period of 24 months (93.4 %). One complained of @entity158 recurrence at nine months after surgery and was treated conservatively (2(1/2) yrs). One @entity1 developed pneumothorax after surgery (6.7 %). Four @entity1 reported on numbness of the lateral thoracic wall, due to stretch @entity128 that lies along the approach corridor (26.7 %). CONCLUSION: The transaxillary approach is one of several described surgical options for the treatment of @entity531 . It lies along a natural corridor and is non-muscle splitting. Although it requires a deep surgical corridor, the transaxillary approach allows definitive treatment of both bony and soft-tissue components causing @entity531 , provided the anatomical boundaries are recognized and respected. A persistent cervical rib, however, calls for an additional ventral approach. The complications are minimal and the results are predominantly acceptable.

The transaxillary approach in the treatment of XXXX : a neurosurgical appraisal.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity154 :: ('MESH:D000013', 'Disease') :: ['bony anomaly'] @entity6148 :: ('MESH:D002573', 'Disease') :: ['cervical ribs'] @entity128 :: ('MESH:D020209', 'Disease') :: ['injury of the intercostobrachial nerve'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity531 :: ('MESH:D013901', 'Disease') :: ['neurogenic TOS', 'thoracic outlet syndrome', 'TOS']
@entity531 :: (MESH:D013901,Disease) :: ['thoracic outlet syndrome']
