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¹Başkent Üniversitesi, Nöroşirürji Anabilim Dalı, Ankara, Türkiye
²Başkent Üniversitesi, Göğüs Cerrahisi Anabilim Dalı, Ankara, Türkiye Thoracic outlet syndrome is a general term applied to compression of the subclavian vein, subclavian artery or the nerve trunks of the brachial plexus traveling between the first rib, the clavicle, and the scalene muscle complex. Transaxillary and subclavian approaches are the most frequently used approaches for surgically treated patients. Although surgical treatment of thoracic outlet syndrome often yields good results, a certain number of patients can have recurrence of the symptoms. The posterior paramedian approach is safe and effective as it provides a wide surgical view and helps to stay away from the adhesions caused by the first operation. Anahtar Kelimeler : Thoracic outlet syndrome, Recurrent, Posterior paramedian approach