Dr.Abhilasha Maheshwari, Dr.Sonal Chaugule, Dr.Santosh G Honavar, Dr. RAKSHA RAO
Purpose: To demonstrate the surgical technique for reconstruction of large full-thickness upper eyelid (UL) defects. Reconstruction of full-thickness UL defects for optimal cosmetic and functional outcome is challenging. Cutler-Beard is a classic two-staged procedure utilizing full-thickness vertical advancement bridge flap from lower eyelid (LL). Modifications in the technique such as leaving LL tarsus intact, division of flap into anterior & posterior lamina, careful re-attachment of LPS and “fixing” of lid height in stage 1, differential division of lamina (conjunctiva longer than skin-muscle lamina) and Tisseel glue for conjunctivalized UL margin in stage 2 can give excellent results. This video shows important steps in surgical management of large UL defects by modified Cutler-Beard technique.