@article {1363234,
	title = {Secondary tarsoconjunctival graft: a modification to the Cutler-Beard procedure},
	journal = {Ophthalmic Plast Reconstr Surg},
	volume = {29},
	number = {3},
	year = {2013},
	month = {2013 May-Jun},
	pages = {227-30},
	abstract = {PURPOSE: The Cutler-Beard procedure is a commonly used technique to reconstruct large upper eyelid defects. Eyelid retraction and entropion are common complications. To prevent these problems, the authors modified the traditional Cutler-Beard procedure with secondary placement of an autologous tarsoconjunctival graft. METHODS: This is a retrospective review of 2 patients with large upper eyelid defects necessitating upper eyelid reconstruction. The initial stage is unaltered. At the time of flap division, a tarsoconjunctival graft from the contralateral upper eyelid is sutured to the posterior surface of the newly constructed upper eyelid. Two patients underwent this procedure, and follow up was 4 and 23 months, respectively. Patients developed no postoperative complications, including entropion or retraction. CONCLUSIONS: This modification to the Cutler-Beard operation is a technically simple procedure that can restore a more anatomically correct eyelid and can prevent subsequent entropion or retraction. This technique is unique, offering 3 major advances: first, placing the graft at the second surgical stage; second, replacing the tarsus and conjunctiva with like tissue; and third, preserving a lip of conjunctiva to cover the edge of the newly reconstructed upper eyelid.},
	keywords = {Adult, Carcinoma, Basal Cell, Carcinoma, Squamous Cell, Conjunctiva, Eyelid Diseases, Eyelid Neoplasms, Eyelids, Humans, Male, Middle Aged, Ophthalmologic Surgical Procedures, Reconstructive Surgical Procedures, Retrospective Studies, Skin Neoplasms},
	issn = {1537-2677},
	doi = {10.1097/IOP.0b013e3182831c84},
	author = {Yoon, Michael K and McCulley, Timothy J}
}
