Cutler Beard Flap and Upper Palpebral Loss of Substance: Case Report and Literature Review

Basal cell carcinoma, accounting for over 80% of malignant eyelid tumors, often localized in the periocular region. Although generally less aggressive, this type of cancer can infiltrate surrounding structures, making its management and tissue reconstruction crucial. We report the case of a 73-year-old patient, with no significant pathological history, admitted for a nodular lesion on the left upper eyelid that was in favor of basal cell carcinoma. The patient underwent surgical excision, followed by reconstruction using a Cutler-Beard palpebral-jugal advancement flap. Reconstruction techniques vary according to the characteristics of the defect, and although the Cutler-Beard flap is a versatile option for large defects, other alternatives such as switch and bridge flaps have drawbacks. This case highlights the importance of adequate reconstruction of the upper eyelid, which plays a crucial role in aesthetics and ocular protection.