Surgical skill in a nutshell
18 November 2024
Early Access
A delayed Tenzel flap
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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A 71-year-old man presented with a lentigo maligna melanoma (Breslow 0.25 mm) of the left lower eyelid. Complete excision was achieved after 3 Slow Mohs stages, resulting in a quadrangular 1.8x1.2 cm full-thickness defect. After the first stage, upper and lateral margins resulted as histologically infiltrated. Therefore, an additional lateral strip was taken after 3 days, resulting in a tumor-free result. Radicalization was completed after another 8 days on the posterior lamella and rim with immediate reconstruction.
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Citations
Etzkorn JR, Sobanko JF, Elenitsas R, et al. Low recurrence rates for in situ and invasive melanomas using Mohs micrographic surgery with melanoma antigen recognized by T cells 1 (MART-1) immunostaining: tissue processing methodology to optimize pathologic staging and margin assessment. J Am Acad Dermatol 2015;72:840-50. DOI: https://doi.org/10.1016/j.jaad.2015.01.007
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Tenzel RR, Stewart WB. Eyelid reconstruction by the semicircle flap technique. Ophthalmology 1978;85:1164-9. DOI: https://doi.org/10.1016/S0161-6420(78)35578-0
Levine MR, Buckman G. Semicircular flap revisited. Arch Ophthalmol 1986;104:915-7. DOI: https://doi.org/10.1001/archopht.1986.01050180149048
Haefliger IO, Tschopp M, Piffaretti JM, Pimentel AR. Delayed reconstruction after eyelid tumor excision. Klin Monbl Augenheilkd 2012;229:391-4. DOI: https://doi.org/10.1055/s-0031-1299208
How to Cite
A delayed Tenzel flap. (2024). Dermatology Reports. https://doi.org/10.4081/dr.2024.10151
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