Outcomes of endoscopic and open surgical release of thoracic outlet syndrome

Thoracic outlet syndrome (TOS) results from the entrapment of the neurovascular bundle within distinct spaces, namely the interscalene, costoclavicular, or subpectoral minor regions. When compression occurs in the interscalene or costoclavicular spaces, involving the first rib and scalene muscle, it gives rise to both vascular and neurogenic TOS. Conversely, compression in the subpectoral minor space leads to the specific manifestation known as pectoralis minor syndrome.
The primary approach in managing these patients traditionally encompasses conservative measures, pharmacological interventions, shoulder girdle rehabilitation, and the adjustment of ergonomic factors relevant to work or exercise. Surgical intervention is deemed necessary when conservative methods prove ineffective, following an extended period of rehabilitation. An array of surgical techniques is available for addressing TOS, each tailored to the specific circumstances. The focal point of this webinar is to elucidate the process of endoscopic brachial plexus decompression across all potential entrapment sites.

Speakers

  • Thibault Lafosse, MD