Department of Otolaryngology -Head and Neck Surgery and Department of Pediatrics, Lewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania, U.S.A.
Laryngoscope. 2020 Feb;130(2):E45-E47. doi: 10.1002/lary.27914. Epub 2019 Mar 19.
OBJECTIVES/HYPOTHESIS: To trace the evolution of the Sistrunk procedure.
Historical review.
We reviewed historical materials in the English, French, and German literature including journal articles, book chapters, genealogical sources, and obituaries to identify the emerging concepts leading to the Sistrunk operation. These included references to the embryology of the thyroid and of the branchial apparatus as well as incremental advances in the surgical management of midline congenital cervical cysts and fistulae. PubMed, the Google Internet search engine, Archive.org, and Google Translate were primary investigational tools.
Understanding of human embryology evolved rapidly in the mid and late 1800s. Discovery of the thyroglossal duct and its role in thyroid development led to improvements in existing surgery for thyroglossal duct remnants. Sistrunk was aware of the anatomy and histopathology of these remnants and used this knowledge to refine existing surgical approaches.
The elements of thyroglossal duct remnant surgery existed for decades before Sistrunk popularized his modified approach to dissection of the suprahyoid portion of the tract. His innovation and his clear description of the operation made it accessible to surgeons around the world.
NA Laryngoscope, 130:E45-E47, 2020.
目的/假设：追溯 Sistrunk 手术的演变过程。
历史回顾。
我们查阅了英语、法语和德语文献中的历史资料，包括期刊文章、章节、系谱来源和讣告，以确定导致 Sistrunk 手术的新兴概念。这些概念包括甲状腺和鳃器的胚胎学以及中线先天性颈囊肿和瘘管的外科治疗的渐进式进展。PubMed、Google 互联网搜索引擎、Archive.org 和 Google Translate 是主要的研究工具。
人类胚胎学的理解在 19 世纪中后期迅速发展。对甲状舌管及其在甲状腺发育中的作用的发现，导致了对甲状舌管残迹的现有手术的改进。Sistrunk 了解这些残迹的解剖结构和组织病理学，并利用这些知识来改进现有的手术方法。
在 Sistrunk 推广他对该管的舌骨上部分的改良解剖方法之前，甲状舌管残迹手术的各个要素已经存在了几十年。他的创新和对手术的清晰描述，使世界各地的外科医生都能接受这种手术。
无 Laryngoscope, 130:E45-E47, 2020.
