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In recent years, several studies have reported on practitioners' preferences for the treatment of orbital floor fractures, showing widely varying practice patterns. The purpose of the present study was to identify the practice patterns among oral and maxillofacial surgeons involved in the management of orbital floor fractures in the United States and compare them with the available published data.

An anonymous survey was created and electronically mailed to surgeons. We also reviewed the published data on orbital floor fractures using a PubMed and MEDLINE search. The responses to the survey were analyzed using descriptive statistics.

The factors that had the greatest influence on the surgeon's decision to operate were a defect size > 2 cm², enophthalmos, entrapment, and persistent diplopia. The most common surgical approach reported was a preseptal transconjunctival …