Tenzel’s: an adorable reconstruction surgery to create beautiful near normal eyelids

• Author Details:   
• Anuradha Pradhan
• Ratan Deep Kumar Agrawalla
• Sharmistha Behera
• Pramod Kumar Sharma
• Kanhei Charan

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Background: To study the outcomes of Tenzel’s flap in eyelid reconstruction to achieve near normal eyelids.
Method: A retrospective study of 30 patients who had undergone eyelid reconstruction using Tenzel’s flap between January 2015 and December 2015. Initial diagnosis, postoperative complications and outcomes were noted.
Result: Reconstruction after excision of eyelid tumours is the commonest indication for surgery followed by road traffic accidents. 13 flaps are performed for upper eyelid defects and 17 for lower eyelid defects. Females (19) are outnumbered as compared to males(11). All the patients have a scar mark over temporal area which is the most common complication followed by lid instability, sagging of lateral canthus, lid dehiscence. Fat atrophy is a long term complication.
Conclusion: The cosmetic outcome is acceptable along with good lid stability.

Keywords: Advancement flap, Eyelid reconstruction, Lateral canthal tendon, Rotation flap, Tenzel’s flap