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For the supraclavicular approach, a 2-cm incision is made above and parallel to the clavicle in the supraclavicular fossa (inset). The supraclavicular nerves lie immediately deep to the platysma and should be preserved. The omohyoid muscle is divided after the supraclavicular fat pad has been reflected away. Note the location of the brachial plexus and phrenic nerve in relation to the anterior and middle scalene muscles. Source: Supraclavicular Approach for Thoracic Outlet Syndrome, Adult Chest Surgery, 2e Citation: Sugarbaker DJ, Bueno R, Colson YL, Jaklitsch MT, Krasna MJ, Mentzer SJ, Williams M, Adams A. Adult Chest Surgery, 2e; 2015 Available at: http://mhmedical.com/ Accessed: May 14, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved