American Society of Plastic Surgeons. This is an open-access

Orbital blowout fractures can be managed by several surgical specialties including plastic and maxillofacial surgery, otolaryngology, and ophthalmology. Orbital floor fracture manage-ment has changed significantly over the past decades with the introduction of new materials (porous poly-ethylene and titanium plates) and different fixation methods.1–6 Recommendations for surgical fracture repair mostly depend on a combination of clinical examination (diplopia, enophthalmos, visual acuity, impaired ocular movements) and imaging studies (computed tomography) to evaluate muscle or nerve entrapment.3 Concomitant evaluation of symptoms, signs, and radiographs reduces ambiguity and confu-sion due to local edema and/or subcutaneous em-Received for publication August 20, 2013; accepte