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A Method to Avoid Horner's Syndrome

LOUIS T. PALUMBO, M.D.

AMA Arch Surg. 1958;76(5):807-810.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Introduction

For many years I have been dissatisfied with surgical approaches and techniques which were advocated for sympathetic denervation of the head, neck, shoulder, chest, upper extremity, heart, and coronary circulation. These left much to be desired, from the standpoint both of the surgeon and of the patient. Frequently the operation was difficult to perform and usually resulted in incomplete denervation, so that the desired physiologic changes did not occur. Moreover, the exposure was difficult and inadequate, making it impossible in many cases to cope with any variations which might exist, either in the sympathetic components or in the vascular channels in the operative area. Also, the extent of resection of the sympathetic fibers did not result in a complete ablation of the essential pathways.

Technique

For the reasons noted above and many other factors, I developed and began to utilize, in April, 1953, an anterior transthoracic transpleural approach through . . . [Full Text PDF of this Article]

Author Affiliations
Des Moines, Iowa

Footnotes
Read at the 65th Annual Meeting of the Western Surgical Association, Salt Lake City, Nov. 22, 1957.

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