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    By Gerardo F. Graue-Moreno, MD
    Annual Meeting 2011
    Oculoplastics/Orbit

    A 75-year-old man complained of a nodular growth in the middle third of his upper right lid. Under the suspicion of sebaceous cell carcinoma, an extended excisional biopsy with a Cutler-Beard flap as reconstructive procedure was proposed. A free auricular cartilage graft wrapped in the remaining levator aponeurosis was used to support the posterior lamella. No This modified technique adds stability to the upper lid and allows better functional and cosmetic results as demonstrated after 6 months of follow-up.