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Journal of Ophthalmology
Volume 2014 (2014), Article ID 424567, 4 pages
http://dx.doi.org/10.1155/2014/424567
Clinical Study

Management of the Large Upper Eyelid Defects with Cutler-Beard Flap

Department of Ophthalmology, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Yenimahalle, 06105 Ankara, Turkey

Received 12 January 2014; Accepted 14 February 2014; Published 17 March 2014

Academic Editor: Edward Manche

Copyright © 2014 Duman Rahmi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. To assess Cutler-Beard procedure results in patients after wide excision of malignant eyelid tumours. Materials and Methods. The records of two women and two men (four patients) referred to our clinic with eyelid mass complaints and malign eyelid tumour diagnosis according to the histopathological examination were examined retrospectively. Results. The patients were 60–73 years old and their average age was . The follow-up period of the cases was 16 (6–25) months. Total excisional biopsy was applied to all patients and then Cutler-Beard full thickness lid reconstruction was done because of the wide localization of the tumour. The patients’ diagnoses were consistent with basal cell carcinoma, sebaceous gland carcinoma, eyelid lymphoma, and squamous cell carcinoma. The patients’ eyelids were separated from each other 1 month postoperatively with a second operation. Superior eyelid entropium and blepharochalasis were seen in one patient during followup. Conclusions. Cutler-Beard flap is a successful procedure for superior eyelid tumours accompanied by wide tissue loss. The long-time closure of the eyelids and the need for secondary surgery are the major disadvantages of this procedure. Our experience with this procedure will reveal better results with large case series.