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Biomedical subjects

J J Colton

Publications and source records attributed to J J Colton.

8 recordsLinked to original sources

Rhinoplasty analysis.

Accurate analysis is the foundation for successful rhinoplasty. A general outline for systematic analysis is presented. The importance of accurate recordkeeping and self-analysis is stressed. Examples illustrate the high points of the article.

Esthetics

Nasal tip support.

One of the most important anatomic elements of successful rhinoplasty is nasal tip support and its influence on nasal tip projection, yet the medical literature is vague about what creates and maintains nasal tip support. During the years, 12 or more structures have been implicated that may be important. We believe the two controlling factors are the strength of the alar cartilages and the position of the septal angle.

Cartilage

Management of nasal fractures.

Careful diagnosis and surgical management are the cornerstones of successful treatment of nasal fractures. The nose must be examined thoroughly after all swelling has resolved. Appropriate therapy is best carried out in a surgical suite under optimal conditions and anesthesia. A graded, step-wise plan, beginning with the simplest techniques and proceeding to the more complex, should be used. Postoperative follow-up should continue for at least 6 to 12 months to insure that proper healing and satisfactory results have been achieved.

Adult

Use of electrosurgery in blepharoplasty.

The use of electrosurgery in blepharoplasty is controversial. The reluctance to use this technique may be related to a misunderstanding of the principles of electrosurgery and to uncertainty about its physical effects on local tissues. On the basis of a review of the physics of electrosurgery, our personal technique, and our clinical results, we feel the method is safe and may offer several advantages over traditional techniques.

Electrosurgery

Transmastoid labyrinthectomy indications. Technique and early postoperative results.

Persistent labyrinthine symptoms may manifest as unsteadiness veering or frank rotational vertigo. When these symptoms are resistant to medical therapy and are associated with hearing in the involved ear which is not of a serviceable level, then a transmastoid labyrinthectomy may be of value in ridding the individual of this disability. We have found that this operation may be performed expeditiously and safely; and if the entire vestibular epithelium is removed, the results of surgery are effective and predictable.

Adult

Teratomas of the neck in adults.

True teratomas of the neck in adults are unusual neoplasms. Their clinicopathologic aspects are distinctly different from the counterpart tumor of the neonate and infant. While the latter is almost always a benign tumor, adult teratomas are both histologically and clinically malignant neoplasms. To our knowledge, we report the tenth case of a teratoma of the neck in an adult.

Aged