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TENZEL ROTATIONAL FLAP IN UPPER AND LOWER LID RECONSTRUCTION IN TERTIARY CARE HOSPITAL OF KARACHI PAKISTAN: A
Fatima Ahmed1, Zeeshan Kamil1, Muhammad Tanweer Hasan Khan1
1Department of Ophthalmology, Layton Rahmatullah Benevolent Trust (LRBT) Karachi-Pakistan.
Journal of Ayub Medical College, Abbottabad : JAMC
|November 29, 2024
Summary
The Tenzel rotational flap effectively reconstructs upper and lower eyelids, offering excellent functional and cosmetic results without needing further posterior lamella surgery. This technique provides superior aesthetic outcomes for eyelid repair.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Reconstructive Surgery
Background:
- Eyelid reconstruction presents significant challenges for ocular plastic surgeons.
- Achieving optimal functional and cosmetic outcomes is paramount in lid repair.
Purpose of the Study:
- To evaluate the efficacy of the Tenzel rotational flap for upper and lower eyelid anterior lamella reconstruction.
- To share clinical experience from a tertiary eye care hospital in Karachi, Pakistan.
Main Methods:
- A prospective interventional study involving 10 patients with upper and lower eyelid defects.
- Pre- and post-operative measurements of Levator palpebrae superioris (LPS) action, Margin Reflex Distance-1 (MRD-1), and Palpebral Fissure Height (PFH) were recorded.
- Data analysis was performed using SPSS version 23.0.
Main Results:
- Significant improvements were observed in MRD-1, LPS action, and PFH for both upper and lower eyelids post-reconstruction.
- Postoperative measurements demonstrated successful restoration of eyelid function and aesthetics.
- Mean incision lengths were 8.50±0.83 mm for the upper lid and 9.50±0.91 mm for the lower lid.
Conclusions:
- The Tenzel rotational flap is an effective method for upper and lower eyelid reconstruction.
- This technique achieves excellent functional and cosmetic results, eliminating the need for additional posterior lamella surgery.
