The tarsal sandwich: A new technique in lateral canthoplasty

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.