A New Method for Rebuilding a Lower Lid

A large tumor involving the lids always presents two problems: (1) the treatment of the malignant process and (2) repair of any remaining defect for the preservation of the appearance and function of the lid and the protection of the eye. A number of malignant lesions can, of course, be treated by radium and the roentgen rays, and many can be treated by removing surgically only a portion of the lid. When more than half of the lid is involved and it becomes necessary to remove the greater portion or all of the lid, a major problem in plastic surgery is presented, viz., how to build a new lower lid that will be approximately normal in appearance and function. For use when the upper lid is still intact, a satisfactory solution has been devised, as shown by the following case report and the illustrations. REPORT OF CASE History .—Mr. J.