Purpose: Trauma and infection sometimes produce lower lid malpositions that
are difficult to repair cosmetically with standard canthoplasty techniques
. A new variation is described.
Methods: Surgical techniques of the tarsal strip canthoplasty and of latera
l tarsorrhaphy are combined into the tarsal sandwich.
Results: Representative cases with preoperative and postoperative photos ar
e presented.
Conclusion: The sandwich technique allows the surgeon more flexibility in a
chieving the necessary vertical lift of the lateral canthus in difficult ca
ses of entropion, ectropion, and lagophthalmos.