Work

Management of squamous cell carcinoma on right lower eyelid using an upside-down Cutler Beard flap

Year: 2026

Type: article

Abstract: Purpose: To report the use of the upside down Cutler-Beard surgical technique to repair a full-thickness lower eyelid following SCC resection. Methods: A retrospective review of patient history and histology was performed. Results: Presented is a case of a 59-year-old Caucasian male who had a crusting lesion on the right lower eyelid present for a few months. Wide excision of the lesion was performed with frozen section control. Eyelid reconstruction was performed via an upside-down Cutler-Beard flap. This type of flap is a modification of the traditional Cutler-Beard flap, using a full-thickness advancement flap to repair the lower eyelid defects by splitting the upper eyelid anterior and posterior lamella structures and suturing into the respective layers of the lower lid defect. Conclusion: At 12-month follow-up no evidence of recurrence was present with normal contour, function and appearance except the absence of eyelashes on the lower eyelid.

Source: American Journal of Ophthalmology Case Reports

DOI: 10.1016/j.ajoc.2026.102678

Authors: Madeleine Kelly, Graeme Kelly

Institution: Townsville Hospital

Language: English

Topic: Reconstructive Facial Surgery Techniques

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,590