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Peer-reviewedCC BY-NC-NDAmerican Journal of Ophthalmology Case Reports

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

  1. 1Corresponding author.
  2. 2Townsville Hospital and Health Service, Douglas, QLD, 4814, Australia

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.

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BibTeX
@article{kelly2026management,
  title = {{Management of squamous cell carcinoma on right lower eyelid using an upside-down Cutler Beard flap}},
  author = {Madeleine Kelly and Graeme Kelly},
  journal = {American Journal of Ophthalmology Case Reports},
  year = {2026},
  month = oct,
  doi = {10.1016/j.ajoc.2026.102678},
  url = {https://doi.org/10.1016/j.ajoc.2026.102678},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Management of squamous cell carcinoma on right lower eyelid using an upside-down Cutler Beard flap
AU  - Madeleine Kelly
AU  - Graeme Kelly
PY  - 2026
DA  - 2026/10/23
JO  - American Journal of Ophthalmology Case Reports
DO  - 10.1016/j.ajoc.2026.102678
UR  - https://doi.org/10.1016/j.ajoc.2026.102678
AB  - 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.
SN  - 2451-9936
ER  -