Universität zu Köln

Kopecky, A., Koch, K. R., Bucher, F., Cursiefen, C. and Heindl, L. M. (2016). Results of Cutler-Beard procedure for reconstruction of extensive full thickness upper eyelid defects following tumor resection. Ophthalmologe, 113 (4). S. 309 - 314. NEW YORK: SPRINGER. ISSN 1433-0423

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Abstract

The Cutler-Beard bridge flap technique is an established method for reconstruction of large full thickness upper eyelid defects. The purpose of the present study was to report experiences with the surgical technique, complications and results of this cutaneoconjunctival flap procedure following tumor resection. A total of 18 patients with extensive full thickness upper eyelid defects after tumor excision underwent a Cutler-Beard procedure. Of the patients four received an additional eye bank scleral implant and one received an additional free tarsal graft from the fellow upper eyelid to enhance eyelid stability. The Cutler-Beard bridge flap technique was surgically feasible in all patients without causing damage to the lower eyelid bridge or resulting in any infections. Out of the 13 reconstructions without additional stabilizing tissue 3 (23 %) developed an upper eyelid entropion that was successfully managed using a secondary scleral implant. None of the five reconstructions using additional scleral or tarsal tissue showed an entropion of the upper eyelid. The Cutler-Beard bridge flap technique, which can be combined with grafting additional stabilization tissue in defects exceeding 75 % of the upper eyelid length, is a reliable method for reconstruction of large full thickness upper eyelid defects following tumor excision.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Kopecky, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Koch, K. R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bucher, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Cursiefen, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Heindl, L. M. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-279588
DOI:	10.1007/s00347-015-0146-z
Journal or Publication Title:	Ophthalmologe
Volume:	113
Number:	4
Page Range:	S. 309 - 314
Date:	2016
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-0423
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language LID RECONSTRUCTION; SURGERY; ANATOMY; SCLERA; GRAFT; FLAP Multiple languages Ophthalmology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/27958