Repair of Lid Defects Using a Semicircular Flap

  • David G. BuergerEmail author
  • Daniel E. Buerger
  • George F. BuergerJr


This chapter will follow the concept of the continuum of repair necessary for increasingly larger eyelid defects as discussed in Chap.  35. After the lesion is excised, if the gap is greater than approximately 3 mm when the two edges of the lid are grasped with forceps or skin hooks and pulled together, a repair technique that permits closure of this larger defect must be used. The Tenzel rotational flap, or semicircular flap, proves to be an ideal technique. The semicircular flap can be used for either upper or lower lid reconstruction. It is useful for defects affecting up to 40–50% of the medial or central portion of the eyelid.


Eyelid defects Tenzel rotational flap Semicircular flap 

Supplementary material

419986_5_En_36_MOESM1_ESM.mp4 (158.7 mb)
Video 36.1 Tenzel flap. Courtesy of Richard C. Allen, MD, PhD, FACS. (MP4 162484 kb)


  1. 1.
    Tenzel RR. Eyelid reconstruction by the semicircle flap technique. Ophthalmology. 1978;85:1164–9.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • David G. Buerger
    • 1
    Email author
  • Daniel E. Buerger
    • 2
  • George F. BuergerJr
    • 1
  1. 1.Pittsburgh Oculoplastic AssociatesPittsburghUSA
  2. 2.Department of OphthalmologyUniversity of Pittsburgh Medical Center, Pittsburgh Oculoplastic AssociatesPittsburghUSA

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