Search PubMed⌕ Search

Biomedical subjects

H Scheunemann

Publications and source records attributed to H Scheunemann.

At least 37 records · Page 2Linked to original sources

Nerve injury in fractures of the condylar neck.

Although fractures of the condylar neck belong to the most frequent injuries of the jaws, and various nerves are found in close proximity to the temporomandibular joints, only little mention is made in the literature of neurological complications arising from accidents. We have therefore carried out a prospective study on nerve injuries in 237 fractures of the articular process in the period 1971-1975. We found two cases of post-traumatic Frey's syndrome, whereby the syndrome developed from a post-traumatic auriculotemporal neuralgia. We also found loss of function of auriculotemporal buccal and facial nerves, and loss of taste sensation of the tongue in another case, caused by damage to the chorda tympani. This paper discusses the formal and causal origin of the individual damages, and suggests possibilities for their management.

Chorda Tympani Nerve↗

[Surgical procedures in cleft-palate patients, with reference to phonetic function: primary and secondary methods (author's transl)].

Surgeons undertaking the closure of cleft lip and cleft palate must develop a therapeutic technique that will give the best possible phonetic results and cause the minimum disturbance to normal growth of the maxillae in each case. Clinical observations reveal that different operative procedures achieve normal phonetic function in 60-80 percent of cases. The author has observed the best results when patients have been operated on for cleft lips at 4-6 months of age and for cleft palate at 2-3 years. If nasal speech persists after a cleft-palate operation, a secondary pharyngoplasty can be undertaken in the preschool period, with favorable results in about 70 percent of cases.

Child↗

Conservative parotidectomy in infancy and childhood.

The indication for operations of benign tumours of the salivary glands in infancy and childhood is taken with great caution and is only partially recommended as the therapy of choice. This applies especially to hemangiomas, since spontaneous retrogression has been observed and there is the danger of damage to the facial nerve during surgery. Knowing unsatisfactory late cases of hemangiomas the author recommends conservative parotidectomy in cases of fast-growing hemangiomas. The anatomic structures in infancy, as well as the lack of pneumatisation of the mastoid process and the fragility of the cartilagineous auditory meatus should be taken into consideration during surgical exploration. The atypical course of the facial nerve in large tumours of the parotid gland is pointed out.

Child↗