It is frequently advisable to excise an epithelioma involving the margin of the lid, and technics which I have found satisfactory for doing this will be described here.
The principle, which is based on the use of a sliding graft from the temple, is not new, and even the particular methods given here have been employed in general by others. For the most part, these techncis were used by Wheeler.1 I describe them here for the purpose of mentioning certain modifications and emphasizing certain steps which I have deemed important in the performance of 34 such operations.
It is not within the scope of this article to discuss the relative merits of irradiation and surgical procedures in the treatment of epithelioma of the lid. Suffice it to say that in my opinion surgical treatment seems to be the therapy of choice in most instances. Operation is usually adequate to