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Submitted: 2022-11-30
DOI: 10.35119/myjo.v7i1.359
Case Reports
Published: 2025-07-04

Reconstruction of traumatic upper eyelid avulsion with modified Cutler-Beard procedure using autogenous auricular cartilage: a case report

Universiti Malaya Eye Research Centre, Department of Ophthalmology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
Universiti Malaya Eye Research Centre, Department of Ophthalmology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
Universiti Malaya Eye Research Centre, Department of Ophthalmology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
auricular graft modified Cutler-Beard procedure reconstructive eyelid surgery upper eyelid defect

Abstract

Background: Reconstruction of full-thickness upper eyelid defects for optimal cosmetic and functional outcomes is challenging. The modified Cutler-Beard procedure has been advocated for the repair of large upper eyelid defects.

Case presentation: A 45-year-old man presented with left upper eyelid avulsion and tissue loss. More than half of the length of the left upper eyelid had a full-thickness defect extending from the middle up to the lateral canthus with lid margin, tissue loss, and intact globe. The fellow eye and all other bilateral ophthalmic examinations were normal. Computed tomography imaging revealed no foreign body in the orbit or orbital wall fracture. The patient underwent reconstructive surgery using modified Cutler-Beard flap with auricular graft in the left eyelid in 2 stages.

Conclusion: The modified Cutler-Beard technique with auricular graft is an effective procedure to repair full-thickness upper eyelid defects, which fully restored eyelid anatomy, function, and cosmesis in our patient.