Local advancement flap; Semicircular advancement flap; Semicircular flap; Semicircular temporal advancement flap; Tenzel advancement flap

A tenzel flap is a semicircular local advancement flap, which is often utilized in the reconstruction of full thickness eyelid defects. It allows recruitment of tissues lateral to the lateral canthus to allow medial mobilization of the eyelid and direct wound closure.

A Tenzel advancement flap is indicated in the reconstruction of moderate upper or lower full thickness eyelid defects involving approximately 1/3 to 1/2 of the eyelid. The tenzel advancement flap is most commonly employed in eyelid reconstruction following resection of a neoplasm at the eyelid margin or in cases of trauma with full thickness tissue loss.

The defect size and laxity of the individual patient’s tissues dictate which reconstructive options are available to the surgeon. Large full thickness eyelid defects, usually greater than...