Bridge flap: Cutler beard flap

Steven Ovadia; Chrisfouad Raif Alabiad

doi:10.1007/978-3-319-40631-2_69

Bridge flap: Cutler beard flap

Steven Ovadia, Chrisfouad Raif Alabiad

Ophthalmology

Research output: Chapter in Book/Report/Conference proceeding › Chapter

Abstract

The Cutler Beard bridge flap procedure can be used to reconstruct upper eyelid defects up to 90 % in size. The bridge flap is a two stage lid sharing procedure. In the first stage, a full thickness pedicle is transposed from the lower eyelid to the upper eyelid. The second stage entails dividing the pedicle and trimming excess tissue as needed. Tissue transferred during the first stage includes skin, muscle, and conjunctiva. The tarsus is not transferred and as a result, the lid margin may be unstable and predisposed to entropion. This can be addressed by placement of a posterior lamellar graft. After completion of the first stage of surgery, the eyelids are completely shut. This is an important consideration when operating on a patient in which the operative eye is their better (or only) seeing eye.

Original language	English (US)
Title of host publication	Operative Dictations in Plastic and Reconstructive Surgery
Publisher	Springer International Publishing
Pages	297-300
Number of pages	4
ISBN (Electronic)	9783319406312
ISBN (Print)	9783319406299
DOIs	https://doi.org/10.1007/978-3-319-40631-2_69
State	Published - Jan 1 2016

Keywords

Bridge flap
Cutler Beard
Eyelid reconstruction
Oculoplastic surgery

ASJC Scopus subject areas

Medicine(all)

Access to Document

10.1007/978-3-319-40631-2_69

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abstract = "The Cutler Beard bridge flap procedure can be used to reconstruct upper eyelid defects up to 90 % in size. The bridge flap is a two stage lid sharing procedure. In the first stage, a full thickness pedicle is transposed from the lower eyelid to the upper eyelid. The second stage entails dividing the pedicle and trimming excess tissue as needed. Tissue transferred during the first stage includes skin, muscle, and conjunctiva. The tarsus is not transferred and as a result, the lid margin may be unstable and predisposed to entropion. This can be addressed by placement of a posterior lamellar graft. After completion of the first stage of surgery, the eyelids are completely shut. This is an important consideration when operating on a patient in which the operative eye is their better (or only) seeing eye.",

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