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Cervical Rib Resection Through Anterior Approach
MOHAMED S. MAHBOOB ALI;
ADVANCED MEDICAL AND DENTAL INSTITUTE(AMDI), GEORGETOWN, Malaysia

BACKGROUND: Cervical rib Cervical-causing Thoracic Outlet Syndrome (TOS) are uncommon, and most patient improve with conservative management
METHODS: A fourteen-year-old girl who was diagnosed with TOS underwent a supraclavicular technique of cervical rib resection. A curvilinear incision was performed on her right neck and the structures were dissected appropriately. No structures were cut apart, especially the scalene muscles. Once the cervical rib was encountered the fibrous band and the proximal end were cut apart. In this technique, we crushed the proximal end of the cervical ribs as much as possible as the posterior view is limited. The cut edge was shaved off. All structures were then approximated and skin was closed in an interrupted manner. The patient was discharged well
RESULTS: The patient underwent the operation uneventfully and fully recovered within a few weeks. The wound healed and she has no more active complaints than before. She also aced in her studies since she can write and study without any disturbances. CONCLUSIONS: Cervical rib resection is a challenging surgical procedure in which a well-strategized technique is needed to avoid major intra-operative and post-operative complications.

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