Epithelioma of the lower lid; excision; transplantation of skin without a pedicle; result one year after the operation / by G. E. de Schweinitz.

  • De Schweinitz, G. E. (George Edmund), 1858-1938.
Date:
[1894]
Catalogue details

Licence: Public Domain Mark

Credit: Epithelioma of the lower lid; excision; transplantation of skin without a pedicle; result one year after the operation / by G. E. de Schweinitz. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    [Reprinted from American Ophthalmologic^ Society Transactions, 1894.] w EPITHELIOMA OF THE LOWER LID; EXCISION; TRANSPLANTATION OF SKIN WITHOUT A PEDICLE; RESULT ONE YEAR AFTER THE OPERATION. By G. E. de SCHWEINITZ, M.D., PHILADELPHIA, PENN. Clara B., aged 40, presented herself for treatment at the Jefferson Medical College Hospital, April 14, 1893, on account of a morbid growth occupying the lower lid of the right eye. The following history was obtained: She has been twice married. Her first husband was syphilitic, but appears not to have infected the patient. Her second husband is a healthy man; there have been no children from either marriage. The patient is a strong, wiry, hard-working woman, in perfectly good physical condition, and without history of illnesses that bear upon the present condition. The growth occupied the whole lower lid, presenting the appearance of a grooved ulceration bounded on each side by slightly elevated walls. The center of the ulceration was covered with a crust, the removal of which caused slight bleeding. The tumor had been slow in growth, having first been noticed eight years ago. Some attempt to remove or absorb it by means of salves had been attempted without good result. The patient was etherized and the diseased area removed, together with a triangular flap of tissue, the upper incision pass- ing just below the margin of the cilia and extending the entire length of the lid. From either end of this incision the lateral cuts were made until they met at a point three centimetres below the ciliary margin. Three sutures, introduced from below upwards, closed the angle, but left a flattened triangular