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Biomedical subjects

S Hellmich

Publications and source records attributed to S Hellmich.

At least 19 recordsLinked to original sources
PubMed1989

[Ivory as a nose implant performed by Jacques Joseph. Late results after more than 40 years].

A report is represented on late results of saddle-nose corrections in three patients who, more than 40 years ago, underwent surgery performed by Jacques Joseph in Berlin using an ivory chip. One patient showed a very good permanent result, while the two others had implant loss, which, in one case, was due to trauma. The case reports offer an opportunity to recall a few biographical data on Jacques Joseph and on his use of ivory as an implant material.

Aged↗
PubMed1989

Reconstruction of the destroyed septal infrastructure.

Destruction of the nasal septum can produce cosmetic and functional disturbances and is most commonly caused by trauma, septal abscess, and inadequate septal surgery. A method of reconstruction of the destroyed septal infrastructure is presented using a preserved rib cartilage allograft.

Cartilage↗
PubMed1984

[Operative treatment of paranasal sinus diseases in childhood].

An exact knowledge of the developing anatomy and physiology, and very conservative operative technique are the prerequisites for surgical therapy of the nose and the paranasal sinuses in children. These requirements are fulfilled by uncapping of the ethmoidal cells in chronic and especially acute ethmoid sinusitis. Intranasal antrostomy allows diagnosis to be made and limited local treatment to be given in acute and chronic maxillary sinusitis. More radical surgical procedures are not indicated in children, except in those cases, where severe orbital or endocranial complications have already developed. Uncapping of the ethmoidal cells and/or intranasal antrostomy combined with the elimination of mechanical obstruction of the upper respiratory tract are necessary, when conservative treatment of acute or chronic sinusitis is unsuccessful. Continuation of conservative therapy is then no longer indicated. The uncapping of the ethmoidal cells under antibiotic cover usually leads to a complete disappearance of the symptoms within a few days, even when orbital or periorbital complications of an acute ethmoiditis have already set in. Even after unsuccessful long-term treatment of a chronic maxillary sinusitis, intranasal antrostomy is successful in 75-90 per cent of cases. Complications did not occur in a personal series of 1,349 intranasal antrostomies in children in a period of 5 years.

Acute Disease↗
PubMed1983

[The use of synthetic materials in rhinoplasty].

The ideal implant does not yet exist. Generally, the use of plastic implants in rhino-surgery is of limited indication only. The use of plastic implants in septum surgery is contraindicated. Hard, rigid, insufficiently elastic and perforated implants should not be used in the nasal dorsum. The implantation of mesh material has proved a failure. Only in limited cases of a severely damaged and scarred nasal dorsum the implantation of plastic sponge is indicated. Experience teaches the critical surgeon that occasionally there are defects, which (also due to lack of suitable implant material) cannot be improved with a justifiable prospect of success.

Humans↗
PubMed1983

Surgical treatment of sinusitis.

There is no doubt that there is a considerable number of cases of acute and chronic sinusitis, which can be cured only by surgical intervention. The modern philosophy should be: to choose a surgical technique as conservative as possible and as radical as necessary according to the individual case. To achieve this goal, an exact knowledge of the anatomy and pathology of the paranasal sinuses, as well as a full command of the available diagnostic methods (including sinuscopy) are essential. The sometimes dangerous complications of acute ethmoiditis in children usually can be solved by simple displacement of the middle turbinate to the center and uncapping of the ethmoidal cells assisted by antibiotic and antiphlogistic treatment. The surgical treatment of choice in cases of acute recurrent or chronic maxillary sinusitis in children (often combined with bronchial or allergic problems) is the installation of a nasoantral window from the inferior meatus, to guarantee adequate drainage. In adults, the radical techniques of Caldwell-Luc (maxillary sinus) and Riedel (frontan sinus) should be used in selected cases only. They should be replaced--if possible--by osteoplastic methods or modified techniques (frontal and maxillary sinus) or bimeatal-transnasal approach under endoscopic control (maxillary and ethmoidal sinus). Healthy and reversibly damaged mucosa should be saved; but at the cost of sacrificing the nasal function instead.

Adult↗
PubMed1982

[The intermaxillary bone and Goethe's Mephistopheles].

The greatest anatomist of the second half of the 18th century was considered to be Petrus Camper from Holland. His theory - widespread as a dogma - stated that the anatomical difference between man and animal was the missing intermaxillary bone in man, this being the distinguishing feature between man and monkey. Against this theory Goethe set hs own reflections and observations, and on March 27th 1784 he found, by "reflection and coincidence", the intermaxillary bone in the human skull. In order to present his exciting discovery to the famous anatomist, he wanted to use as an intermediary his good friend Johann Heinrich Merck from Darmstadt who was in contact with Petrus Camper. But Merck delayed the requested forwarding of the manuscript, belittled Goethe and the significance of his treatise considerably in an accompanying letter, did not forward Camper's replies, and in the meantime even took advantage of Goethe's treatise for his own publications. It as only late that Goethe became aware of the scheming and mean behaviour of his "good friend", and he felt disappointed and betrayed by Merck. In Goethe's dramatic poem "Faust", Dr. Faust is confronted with the figure of Mephistopheles--the spirit who always plans evil and always denies. There is enough evidence to believe that the person of J. H. Merck can be recognized in this figure, and that Goethe's discovery of the human intermaxillary bone had its part in creating the figure of Mephistopheles as we know it today.

Germany↗