Resection of Primary Brachial Plexus Tumor via a Modified Supraclavicular Approach
Abstract Benign peripheral nerve sheath tumors are generally considered curable lesions, and surgical resection is recommended as the primary line of treatment. When these tumors occur in the brachial plexus, they are most frequently accessed via the supraclavicular approach. Traditional description...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Georg Thieme Verlag KG
2014-05-01
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| Series: | Journal of Neurological Surgery Reports |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1376423 |
| _version_ | 1818549034972872704 |
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| author | Christine Tschoe James W. Holsapple Emanuela Binello |
| author_facet | Christine Tschoe James W. Holsapple Emanuela Binello |
| author_sort | Christine Tschoe |
| collection | DOAJ |
| description | Abstract
Benign peripheral nerve sheath tumors are generally considered curable lesions, and surgical resection is recommended as the primary line of treatment. When these tumors occur in the brachial plexus, they are most frequently accessed via the supraclavicular approach. Traditional descriptions of this approach have included either transection of sternocleidomastoid (SCM) muscle fibers or disarticulation of the clavicular head of the SCM muscle. This report presents a simple and easy-to-adapt modification of the supraclavicular approach that offers greater preservation of the SCM muscle. The modification primarily consists of the creation of an intramuscular window between the sternal and clavicular heads of the SCM via the splitting and dilation SCM muscle fibers. This technique minimizes the disruption of SCM muscle tissue compared with previous descriptions and may be associated with improved postoperative pain and return to function. |
| first_indexed | 2024-12-12T08:28:12Z |
| format | Article |
| id | doaj.art-fee3c17ff0104b05bd411574b834ee8e |
| institution | Directory Open Access Journal |
| issn | 2193-6358 2193-6366 |
| language | English |
| last_indexed | 2024-12-12T08:28:12Z |
| publishDate | 2014-05-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | Journal of Neurological Surgery Reports |
| spelling | doaj.art-fee3c17ff0104b05bd411574b834ee8e2022-12-22T00:31:12ZengGeorg Thieme Verlag KGJournal of Neurological Surgery Reports2193-63582193-63662014-05-017501e133e13510.1055/s-0034-1376423Resection of Primary Brachial Plexus Tumor via a Modified Supraclavicular ApproachChristine Tschoe0James W. Holsapple1Emanuela Binello2Department of Neurosurgery, Boston University School of Medicine, Boston, Massachusetts, United StatesDepartment of Neurosurgery, Boston University School of Medicine, Boston, Massachusetts, United StatesDepartment of Neurosurgery, Boston University School of Medicine, Boston, Massachusetts, United StatesAbstract Benign peripheral nerve sheath tumors are generally considered curable lesions, and surgical resection is recommended as the primary line of treatment. When these tumors occur in the brachial plexus, they are most frequently accessed via the supraclavicular approach. Traditional descriptions of this approach have included either transection of sternocleidomastoid (SCM) muscle fibers or disarticulation of the clavicular head of the SCM muscle. This report presents a simple and easy-to-adapt modification of the supraclavicular approach that offers greater preservation of the SCM muscle. The modification primarily consists of the creation of an intramuscular window between the sternal and clavicular heads of the SCM via the splitting and dilation SCM muscle fibers. This technique minimizes the disruption of SCM muscle tissue compared with previous descriptions and may be associated with improved postoperative pain and return to function.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1376423brachial plexus tumorsupraclavicular approachsternocleidomastoid muscleintramuscular window |
| spellingShingle | Christine Tschoe James W. Holsapple Emanuela Binello Resection of Primary Brachial Plexus Tumor via a Modified Supraclavicular Approach Journal of Neurological Surgery Reports brachial plexus tumor supraclavicular approach sternocleidomastoid muscle intramuscular window |
| title | Resection of Primary Brachial Plexus Tumor via a Modified Supraclavicular Approach |
| title_full | Resection of Primary Brachial Plexus Tumor via a Modified Supraclavicular Approach |
| title_fullStr | Resection of Primary Brachial Plexus Tumor via a Modified Supraclavicular Approach |
| title_full_unstemmed | Resection of Primary Brachial Plexus Tumor via a Modified Supraclavicular Approach |
| title_short | Resection of Primary Brachial Plexus Tumor via a Modified Supraclavicular Approach |
| title_sort | resection of primary brachial plexus tumor via a modified supraclavicular approach |
| topic | brachial plexus tumor supraclavicular approach sternocleidomastoid muscle intramuscular window |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1376423 |
| work_keys_str_mv | AT christinetschoe resectionofprimarybrachialplexustumorviaamodifiedsupraclavicularapproach AT jameswholsapple resectionofprimarybrachialplexustumorviaamodifiedsupraclavicularapproach AT emanuelabinello resectionofprimarybrachialplexustumorviaamodifiedsupraclavicularapproach |