In more severe cases or if conservative treatments fail, surgical intervention may be necessary. Surgical options for Thoracic Inlet Syndrome : TIS include
- First rib resection: The removal of the first rib to create more space for the neurovascular structures and alleviate compression. This procedure is often combined with scalenectomy, which involves the removal of the anterior and middle scalene muscles that attach to the first rib.
- Cervical rib resection: If the patient has a cervical rib, which is an extra rib arising from the cervical spine, it can be surgically removed to reduce compression.
- Clavicle resection: In some cases, a portion of the clavicle may be removed to create more space in the thoracic inlet.
- Transaxillary approach: This less invasive approach involves accessing the thoracic inlet through an incision in the armpit, allowing the surgeon to remove any compressive structures without disturbing the chest wall.
- Vascular reconstruction: If the subclavian artery or vein is severely compressed, a surgeon may perform a bypass or repair the affected blood vessel.
Recovery from TIS surgery varies depending on the procedure performed, but patients can generally expect a gradual return to normal activities over several weeks. Physical therapy is often recommended during the recovery period to help restore strength and mobility.
A Comprehensive Guide to Thoracic Inlet Syndrome
I. Causes of Thoracic Inlet Syndrome
II. Symptoms of Thoracic Inlet Syndrome
III. Diagnosis of Thoracic Inlet Syndrome
IV. Treatment Options for Thoracic Inlet Syndrome
VI. Preventing Thoracic Inlet Syndrome
