The Cutler-Beard clamp for lid reconstruction.

Area of Science:

• Ophthalmic surgery
• Reconstructive surgery

Background:

• Eyelid defects following tumor excision or trauma require precise surgical repair.
• Traditional surgical clamps may present challenges in achieving accurate incisions and preserving critical anatomical structures.

Purpose of the Study:

• To evaluate the efficacy and safety of the Cutler-Beard transmarginal rotation entropion clamp in patients undergoing the Cutler-Beard procedure.
• To assess the clamp's ability to facilitate precise incision placement and minimize complications during eyelid reconstruction.

Main Methods:

• Prospective, noncomparative case series.
• Involved 25 patients undergoing the Cutler-Beard procedure for eyelid defect repair.
• Focused on evaluating intraoperative and postoperative complications.

Main Results:

• The Cutler-Beard clamp facilitates combined skin orbicularis muscle and conjunctival tarsal incisions without clamp removal.
• Enables precise incision creation 4 mm from the eyelid margin, preserving the marginal artery.
• Features toothed blades enhance eyelid stabilization and prevent clamp slippage, improving upon chalazion clamps.

Conclusions:

• The transmarginal rotation clamp (Cutler-Beard clamp) allows for accurate incision placement, significantly reducing the risk of marginal artery injury.
• Demonstrates superiority over traditional chalazion clamps in eyelid reconstruction procedures.
• Contributes to improved outcomes in the surgical repair of eyelid defects.