“…A specifically placed suture avoided any com¬ promise of healing surfaces by suture ne¬ crosis or granuloma and splinted the lacerated lid to the opposing intact lid margin. 4 In a recent symposium, senescent changes in eyelid tissues, paralysis of orbicularis muscle, and cicatricial bands were outlined as the chief pathophysiologic factors lead¬ ing to ectropion.0 The differences of inner¬ vation and function of the orbital and palpebrai portions of the orbicularis were emphasized in classifying the types of ectropion. The relative advantages of various established techniques of repair of spastic, senile, paralytic, mechanical, and cicatricial types of ectropion were described and illus¬ trated and utilized the experience-proved in¬ novations of each author.…”