Clinical considerations in the management of orbital blow-out fractures

The management of orbital blow-out fractures has long been controversial. There are primarily two methods of treatment. One is a conservative approach that delays any kind of initial surgical intervention on the basis that most situations attributable to blow-out fractures resolve over time, obviating the need for surgery. On the other hand, initial aggressive surgical repair of blow-out fracture injuries is much more successful than secondary reconstructive procedures. This article discusses the advantages and disadvantages of both treatment methods.