Long-Term Functional Outcome of Surgical Treatment for Thoracic Outlet Syndrome
AbstractFirst rib resection for thoracic outlet syndrome (TOS) is clinically successful and safe in most patients. However, long-term functional outcomes are still insufficiently known. Long-term functional outcome was assessed using a validated questionnaire. A multicenter retrospective cohort study including all patients who underwent operations for TOS from January 2005 until December 2016. Clinical records were reviewed and the long-term functional outcome was assessed by the 11-item version of the Disability of the Arm, Shoulder, and Hand (QuickDASH) questionnaire. Sixty-two cases of TOS in 56 patients were analyzed: 36 neurogenic TOS, 13 arterial TOS, 7 venous TOS, and 6 combined TOS. There was no 30-day mortality. One reoperation because of bleeding was performed and five patients developed a pneumothorax. Survey response was 73% (n = 41) with a follow-up ranging from 1 to 11 years. Complete relief of symptoms was reported postoperatively in 27 patients (54%), symptoms improved in 90%, and the mean QuickDASH score was 22 (range, 0–86). Long-term functional outcome of surgical treatment of TOS was satisfactory, and surgery was beneficial in 90% of patients, with a low risk of severe morbidity. However, the mean QuickDASH scores remain higher compared with the general population, suggesting some sustained functional impairment despite clinical improvement of symptoms. View Full-Text
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Peek, J.; Vos, C.G.; Ünlü, Ç.; Schreve, M.A.; van de Mortel, R.H.W.; de Vries, J.-P.P.M. Long-Term Functional Outcome of Surgical Treatment for Thoracic Outlet Syndrome. Diagnostics 2018, 8, 7.
Peek J, Vos CG, Ünlü Ç, Schreve MA, van de Mortel RHW, de Vries J-PPM. Long-Term Functional Outcome of Surgical Treatment for Thoracic Outlet Syndrome. Diagnostics. 2018; 8(1):7.Chicago/Turabian Style
Peek, Jesse; Vos, Cornelis G.; Ünlü, Çağdas; Schreve, Michiel A.; van de Mortel, Rob H.W.; de Vries, Jean-Paul P.M. 2018. "Long-Term Functional Outcome of Surgical Treatment for Thoracic Outlet Syndrome." Diagnostics 8, no. 1: 7.
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