Free Fat Flap In Recurrent Neurogenic Thoracic Outlet Syndrome Surgical Treatment

Last updated: July 17, 2024
Sponsor: Nantes University Hospital
Overall Status: Active - Recruiting

Phase

N/A

Condition

N/A

Treatment

Free fat flap

Clinical Study ID

NCT06172101
AP_UL_001
  • Ages > 18
  • All Genders

Study Summary

The Thoraco-Brachial Outlet Syndrome (T-BOS) corresponds to the entirety of clinical manifestations related to the compression of the branches of the brachial plexus and/or the subclavian vessels during their passage through the cervico-thoracic region.

Following surgery, a recurrence of symptoms occurs in 5% to 30% of operated patients. The treatment of these recurrences primarily relies on conservative therapies, and in case of failure, surgical intervention, particularly neurolysis of the brachial plexus.

In order to prevent a new recurrence, it is desirable to cover the neurolyzed brachial plexus with a flap, providing better local vascularization. However, fatty perforating flaps, by avoiding muscle harvesting, reduce donor site sequelae. We aim to investigate, through validated and recommended questionnaires, the impact of covering the neurolyzed brachial plexus with a free fatty flap after neurolysis in the context of recurrent neurological Thoraco-Brachial Outlet Syndrome.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Patients underwent brachial plexus neurolysis and free fat flap coverage in thecontext of recurrence of neurological thoraco-brachial outlet syndrome

Exclusion

Exclusion Criteria:

  • Patients were unable to express their non-opposition to participating in the study.

  • patients under guardianship or trusteeship.

  • patients whose mother tongue is not French.

  • patients who cannot read and/or write.

Study Design

Total Participants: 20
Treatment Group(s): 1
Primary Treatment: Free fat flap
Phase:
Study Start date:
December 18, 2023
Estimated Completion Date:
May 18, 2026

Connect with a study center

  • Dr Lancien

    Nantes, 44000
    France

    Active - Recruiting

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