Semicircular Flap Revisited

Reconstruction of Complex Defects of the Eyelids and Periorbital Region

“…Local flaps seem to be ideal for reconstruction of both upper or lower eyelids. The tissues used are near the defect and more or less similar in consistency; color and thickness to the tissues of the defect [11][12][13][14].…”

Reconstruction of Complex Defects of the Eyelids and Periorbital Region

“…Local flaps seem to be ideal for reconstruction of both upper or lower eyelids. The tissues used are near the defect and more or less similar in consistency; color and thickness to the tissues of the defect [11][12][13][14].…”

Superiorly based nasolabial island flap for reconstruction of the lateral lower eyelid

“…The primary indication for the Tenzel flap is a fullthickness defect up to 50% of the width of the lower eyelid. It can be used for defects up to 70% of the lower eyelid length, if the lower eyelid retractors and inferior orbital septum are severed from their attachments (19)(20)(21). However, the Tenzel flap is not appropriate for lower eyelid defects involving zone V. Furthermore, overstretching of the flap during the closure of large defects must be avoided to prevent complications, including lateral canthal webbing, symblepharon, and tissue fullness of the lateral lower eyelid (3,22).…”

Tenzel Semicircular Flap Technique for Reconstruction of Defects in Lower Eyelid

“…Ancak semisirküler flep tekniğinde bu kurala uyulması gerekmez (12). Ön ve arka lamellanın ayrı ayrı oluşturulmaması Tenzel flebinde ameliyat süresini kısalttığını dü-şünmekteyiz.…”

Reconstruction of Complex Defects of the Eyelids and Periorbital Region

“…Local flaps seem to be ideal for reconstruction of both upper or lower eyelids. The tissues used are near the defect and more or less similar in consistency; color and thickness to the tissues of the defect [11][12][13][14].…”

Superiorly based nasolabial island flap for reconstruction of the lateral lower eyelid

“…The primary indication for the Tenzel flap is a fullthickness defect up to 50% of the width of the lower eyelid. It can be used for defects up to 70% of the lower eyelid length, if the lower eyelid retractors and inferior orbital septum are severed from their attachments (19)(20)(21). However, the Tenzel flap is not appropriate for lower eyelid defects involving zone V. Furthermore, overstretching of the flap during the closure of large defects must be avoided to prevent complications, including lateral canthal webbing, symblepharon, and tissue fullness of the lateral lower eyelid (3,22).…”

Tenzel Semicircular Flap Technique for Reconstruction of Defects in Lower Eyelid

“…Ancak semisirküler flep tekniğinde bu kurala uyulması gerekmez (12). Ön ve arka lamellanın ayrı ayrı oluşturulmaması Tenzel flebinde ameliyat süresini kısalttığını dü-şünmekteyiz.…”

Reconstruction of Complex Defects of the Eyelids and Periorbital Region

“…Local flaps seem to be ideal for reconstruction of both upper or lower eyelids. The tissues used are near the defect and more or less similar in consistency; color and thickness to the tissues of the defect [11][12][13][14].…”

Superiorly based nasolabial island flap for reconstruction of the lateral lower eyelid

“…The primary indication for the Tenzel flap is a fullthickness defect up to 50% of the width of the lower eyelid. It can be used for defects up to 70% of the lower eyelid length, if the lower eyelid retractors and inferior orbital septum are severed from their attachments (19)(20)(21). However, the Tenzel flap is not appropriate for lower eyelid defects involving zone V. Furthermore, overstretching of the flap during the closure of large defects must be avoided to prevent complications, including lateral canthal webbing, symblepharon, and tissue fullness of the lateral lower eyelid (3,22).…”

Tenzel Semicircular Flap Technique for Reconstruction of Defects in Lower Eyelid

“…Ancak semisirküler flep tekniğinde bu kurala uyulması gerekmez (12). Ön ve arka lamellanın ayrı ayrı oluşturulmaması Tenzel flebinde ameliyat süresini kısalttığını dü-şünmekteyiz.…”