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An item with the hole drilled at the top, as opposed to the center. The item can then be used as a dangle, a drop pendant, as a part of a cluster, etc. An example is the Bicone Pendant:

Top-Drilled Bicone

Also used to describe beads that are drilled from top-to-bottom, as opposed to side-to-side. For example, there are two versions of this TierraCast Skull bead, one with a top-drilled stringing hole, and one with a side-to-side stringing hole. 

Top-Drilled:                                                      Regular: 

Top-Drilled Skull BeadSkull Bead with Side-to-Side Hole