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Lid Halving with Variations

Lid Halving with Variations Abstract It was in 1919 that Wheeler,1 as a result of his vast and varied experience with World War I casualties, first described his halving procedure for "notch of the eyelid associated with laceration of the tarsus." "An important point," he wrote in that famous paper, "is that tarsal incisions and skin incisions should never be in the same position, but should be made in such a way that there is overlapping. Thus, what is known in carpentry as halving is accomplished, and union is assured... Furthermore, recurrence of the notch formation is prevented." Although Wheeler2 subsequently extended his use of halving to all facial wounds, its primary sphere of ophthalmologic usefulness has always been the lid notch and coloboma whether congenital, surgical, or traumatic. Several features of the original Wheeler procedure which are occasionally forgotten today are well worth recalling. It will be noted from Figures 1A References 1. Wheeler, J. M.: War Injuries of the Eyelids. Plastic Operations for a Few Types: Case Reports with Photographs and Drawings , Trans. Amer. Ophthal. Soc. 17:263-271, 1919. 2. Wheeler, J. M.: Halving Wounds in Facial Plastic Surgery, Proceedings of the 2d Congress Pan-Pacific Surgical Association, 1936, pp. 228-229. 3. Reese, A. B.: Tumors of the Eye , New York, Paul B. Hoeber, Inc. (medical book department of Harper & Brothers), 1951, p. 4. 4. McLean, J. M.: Plastic Reconstruction of the Upper Lid , Amer. J. Ophthal. 24:46-48, 1941. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Lid Halving with Variations

FOX, SIDNEY A.
Archives of Ophthalmology , Volume 65 (5) – May 1, 1961
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References (3)

Publisher
American Medical Association
Copyright
Copyright © 1961 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1961.01840020674012
Publisher site
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Abstract

Abstract It was in 1919 that Wheeler,1 as a result of his vast and varied experience with World War I casualties, first described his halving procedure for "notch of the eyelid associated with laceration of the tarsus." "An important point," he wrote in that famous paper, "is that tarsal incisions and skin incisions should never be in the same position, but should be made in such a way that there is overlapping. Thus, what is known in carpentry as halving is accomplished, and union is assured... Furthermore, recurrence of the notch formation is prevented." Although Wheeler2 subsequently extended his use of halving to all facial wounds, its primary sphere of ophthalmologic usefulness has always been the lid notch and coloboma whether congenital, surgical, or traumatic. Several features of the original Wheeler procedure which are occasionally forgotten today are well worth recalling. It will be noted from Figures 1A References 1. Wheeler, J. M.: War Injuries of the Eyelids. Plastic Operations for a Few Types: Case Reports with Photographs and Drawings , Trans. Amer. Ophthal. Soc. 17:263-271, 1919. 2. Wheeler, J. M.: Halving Wounds in Facial Plastic Surgery, Proceedings of the 2d Congress Pan-Pacific Surgical Association, 1936, pp. 228-229. 3. Reese, A. B.: Tumors of the Eye , New York, Paul B. Hoeber, Inc. (medical book department of Harper & Brothers), 1951, p. 4. 4. McLean, J. M.: Plastic Reconstruction of the Upper Lid , Amer. J. Ophthal. 24:46-48, 1941.

Journal

Archives of Ophthalmology – American Medical Association

Published: May 1, 1961

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