The tarsal sandwich: a new technique in lateral canthoplasty.
OBJECTIVE
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 lateral tarsorrhaphy are combined into the tarsal sandwich.


RESULTS
Representative cases with preoperative and postoperative photos are presented.


CONCLUSIONS
The sandwich technique allows the surgeon more flexibility in achieving the necessary vertical lift of the lateral canthus in difficult cases of entropion, ectropion, and lagophthalmos.
Hesse
R J
RJ
Department of Ophthalmology, Ochsner Clinic and Alton Ochsner Medical Foundation, New Orleans, Louisiana 70121, USA.
D000328:Adult; D019882:Blepharoplasty / Q000379:methods*; D002481:Cellulitis / Q000150:complications; D004483:Ectropion / Q000209:etiology / Q000601:surgery*; D004774:Entropion / Q000209:etiology / Q000601:surgery*; D005143:Eyelids / Q000601:surgery*; D005151:Facial Injuries / Q000150:complications; D005260:Female; D006801:Humans; D008297:Male; D009916:Orbital Diseases / Q000150:complications; D013536:Suture Techniques