Document Detail

Secondary tarsoconjunctival graft: a modification to the Cutler-Beard procedure.
MedLine Citation:
PMID:  23446299     Owner:  NLM     Status:  MEDLINE    
PURPOSE: The Cutler-Beard procedure is a commonly used technique to reconstruct large upper eyelid defects. Eyelid retraction and entropion are common complications. To prevent these problems, the authors modified the traditional Cutler-Beard procedure with secondary placement of an autologous tarsoconjunctival graft.
METHODS: This is a retrospective review of 2 patients with large upper eyelid defects necessitating upper eyelid reconstruction. The initial stage is unaltered. At the time of flap division, a tarsoconjunctival graft from the contralateral upper eyelid is sutured to the posterior surface of the newly constructed upper eyelid. Two patients underwent this procedure, and follow up was 4 and 23 months, respectively. Patients developed no postoperative complications, including entropion or retraction.
CONCLUSIONS: This modification to the Cutler-Beard operation is a technically simple procedure that can restore a more anatomically correct eyelid and can prevent subsequent entropion or retraction. This technique is unique, offering 3 major advances: first, placing the graft at the second surgical stage; second, replacing the tarsus and conjunctiva with like tissue; and third, preserving a lip of conjunctiva to cover the edge of the newly reconstructed upper eyelid.
Michael K Yoon; Timothy J McCulley
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Ophthalmic plastic and reconstructive surgery     Volume:  29     ISSN:  1537-2677     ISO Abbreviation:  Ophthal Plast Reconstr Surg     Publication Date:    2013 May-Jun
Date Detail:
Created Date:  2013-05-08     Completed Date:  2013-12-11     Revised Date:  2014-02-19    
Medline Journal Info:
Nlm Unique ID:  8508431     Medline TA:  Ophthal Plast Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  227-30     Citation Subset:  IM    
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MeSH Terms
Carcinoma, Basal Cell / surgery
Carcinoma, Squamous Cell / surgery
Conjunctiva / transplantation*
Eyelid Diseases / surgery*
Eyelid Neoplasms / surgery
Eyelids / injuries,  transplantation*
Middle Aged
Ophthalmologic Surgical Procedures*
Reconstructive Surgical Procedures*
Retrospective Studies
Skin Neoplasms / surgery
Comment In:
Ophthal Plast Reconstr Surg. 2014 Jan-Feb;30(1):73-4   [PMID:  24398495 ]
Ophthal Plast Reconstr Surg. 2014 Jan-Feb;30(1):74   [PMID:  24398496 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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