The 'over-the-top' modified Cutler-Beard procedure for complete upper eyelid defect reconstruction.

Abstract

PURPOSE:

To describe the 'Over-the-Top' Modified Cutler Beard Procedure (OTTMCB) for complete upper eyelid defect reconstruction Methods: This is retrospective case note review of four patients that underwent the OTTMCB procedure. This two-stage procedure comprises the replacement of the posterior lamella with a free tarsal graft from the contralateral upper eyelid, and the anterior lamella with a lower lid skin flap over the lower eyelid margin which is divided 2-4 weeks later.

RESULTS:

The procedure was undertaken for four patients with 75-90% upper eyelid defects from tumour excision surgery. One patient had post-operative dehiscence requiring debridement and resuturing and further reconstructive surgery 18 months later to improve the cosmesis and lagophthalmos. The other three patients had good functional and cosmetic outcomes.

CONCLUSIONS:

The OTTMCB procedure replaces the anterior and posterior lamellae of the upper eyelid with 'like-for-like' tissues. It avoids some of the drawbacks of the original and other variations of the Cutler-Beard procedure and achieves a good cosmetic outcome.

• Authors: Saul N Rajak, Raman Malhotra, Dinesh Selva
• Journal: Orbit (Amsterdam, Netherlands) (Orbit) Vol. 38 Issue 2 Pg. 133-136 (Apr 2019) ISSN: 1744-5108 [Electronic] England
• PMID: 29513621 (Publication Type: Journal Article)

Topics

• Aged
• Aged, 80 and over
• Blepharoplasty (methods)
• Eyelid Diseases (surgery)
• Eyelid Neoplasms (surgery)
• Eyelids (surgery)
• Female
• Humans
• Male
• Middle Aged
• Plastic Surgery Procedures (methods)
• Retrospective Studies
• Surgical Flaps