Therapy of blow-out fractures

The number of patients with fractures of the bony orbit has recently increased because of increasing accidents, expecially car accidents. Due to the good cooperation of maxillofacial surgeons and ophthalmoligists the latter are asked for consultation in the first days after the accident. Therefore the possibility exists to diagnose rather often a blow-out fracture even without X-ray examination. The methods of primary and secondary management are enumerated.