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RecruitingNCT07882121Updated Oct 20, 2026

Comparing Pre-adaptation of In-stock Mesh Over In-house 3D Patient Specific Model to Reconstruct Unilateral Primary Orbital Fracture With and Without Intraoperative Navigation vs Conventional Intraoperative Free-hand Mesh Bending

An interventional study of 3D printed patient specific model and Conventional in Orbital Fractures, Unilateral and Recent, sponsored by Ain Shams University. Recruiting at 2 sites in Egypt. Open to participants aged 18 Years to 55 Years. Per ClinicalTrials.gov, last updated 2026-10-20.

Sponsored by Ain Shams University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 4 months after the study started (first participant enrolled Jun 2025, registered Oct 2026).
  • Started Jun 2025; still recruiting 1 year 4 months later.
Updated Oct 20, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
01

Study summary

The investigators study the accuracy of repairing unilateral primary orbital fractures using a new technique, using 3D printed patient specific model to preoperative adapting of the readily available in sock titanium mesh, the model is generated using patient's own CT (DICOM files), to be compared with a control group where conventional intraoperative free-hand adaptation of the same mesh is done, comparing results with a third group using intraoperative navigation system as quality control for better positioning of the preadapted mesh , Assessment is done both radiologically and clinically,

  1. CLINICALLY : 4 visits

    • Baseline (PREOP).
    • POSTOP over 1,3 and 6 months interval, subjects assessed for binocular diplopia and limitation of ocular motility using follow my finger test in 8 cardinal gazes, enophthalmos using objective Hertle's exophthalmometer, hypoesthesia over infraorbital nerve distribution.
  2. Radiologically CT maxillofacial to calculate the difference of orbital volume between fractured and normal orbit, pre and postoperatively using Brainlab software workflow.

Preoperatively : defect size is calculated and Postoperatively: proper position of the implant by superimposition (fusion) of postop CT over preop plan

02

Conditions studied

  • Orbital Fractures
  • Unilateral
  • Recent

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Keywords

  • Virtual surgical planning
  • 3D printing
  • CAD
  • Patient specific model
  • Pre-bent mesh
  • titanium mesh
  • orbital reconstruction
  • intraoperative navigation
03

In context

Orbital Fractures

26 studies on the registry are indexed under Orbital Fractures; 6 are open to participants now.

This study's planned enrollment of 30 is above the median of 25 across 17 interventional studies indexed under Orbital Fractures.

Browse Orbital Fractures studies →

Lead sponsor

Ain Shams University is the lead sponsor of 1,930 studies on the registry; 433 are open to participants now.

Of its 33 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Fracture orbital wall:
  • Timing: Recent (\<3 weeks from trauma) Age: 18-55 years Sex: Both

Clinical Findings:

± Globe malposition, Enophthalmos ≥ 2 mm or Diplopia CT Findings

  • Fracture Pattern: unilateral fractures medial wall or floor of the orbit.
  • Defect Size critical sized defects proved by CT

    • Herniation of soft tissue, and/or muscle entrapment.
    • associated non-comminuted zygomatic fracture.

Exclusion criteria

Exclusion Criteria:

  • Timing Delayed (> 3 weeks from trauma)
  • Pattern : Bilateral orbital fractures
  • Associated with Comminuted zygomatic fracture or pan-facial fracture Ocular Manifestations
  • Patients with ruptured globe or associated soft tissue injury Associated conditions
  • Other life-threatening condition
  • Presence of systemic diseases affecting the globe position (e.g Hyperthyroidism, Horner's syndrome)
  • Presence of craniofacial anomalies and Facial asymmetries.
  • History of other old facial fractures Patients refusing surgery or implant.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
30 participants (estimated)

Study arms

  • Active comparator
    Control - Conventional orbital fracture reconstruction

    Patients with orbital fractures receiving the regular surgery with no new concept

    Procedure: Conventional

  • Experimental
    Intervention Group- Preadapted mesh over 3D Patient Specific model for orbital reconstruction

    use of in house 3D Patient Specific model to preadapt the same mesh to increase percision and decrease operative time

    Procedure: 3D printed patient specific model

  • Experimental
    Intraoperative navigation positioning of Preadapted mesh for orbital reconstruction

    same technique for second group , added to it the use of navigation intraoperatively to detect the surrounding boney ledges to identify if it has role in better mesh positioning

    Procedure: 3D printed patient specific model · Device: Brainlab navigation system

Interventions

  • Procedure3D printed patient specific model

    An in-house three-dimensional patient-specific model is produced from preoperative computed tomography imaging to assist surgical planning for unilateral orbital fracture reconstruction. The model depicts the orbital defect and the surrounding available bony ledges, allowing direct visualization of the defect boundaries and identification of the bony support that the mesh must reach and rest upon. This distinguishes the model from models that reproduce only the intended reconstructed orbital contour. Before surgery, an available stock mesh is shaped using the model to achieve the planned orbital contour and adequate coverage of the defect, extending to the identified bony ledges. During surgery, the pre-adapted mesh is placed to reconstruct the orbital defect, with adjustments as required to achieve an appropriate fit and support.

  • ProcedureConventional

    intraoperative visualization of orbital defect, freehand shaping and bending of available mesh

  • DeviceBrainlab navigation system

    intraoperative quality control check using navigation as an additive step to identify surrounding boney ledges for better accuracy of the pre-adapted mesh position

    Also known as: Intraoperative navigator

06

What researchers measure

Primary outcomes

  1. accuracy of restoration of orbital volume

    preoperative and postoperative assessment in the difference between the volume of the fractured orbit and the unaffected contralateral orbit, measured using computed tomography. Orbital volume discrepancy is expressed in cubic centimetres. A reduction in the magnitude of the discrepancy indicates closer restoration to the orbit.

    Time frame: immediate postoperatively

Secondary outcomes

  1. Operative time

    Duration of mesh insertion in minutes, using the same defined start and end points in both groups.

    Time frame: intraoperative

  2. Sequence of clinical outcome (Enophthalmos, Diplopia, Limited ocular motility)

    Difference in globe projection between the affected and unaffected eyes, measured in millimetres using the hertles exophthalmometer. Diplopia and ocular motility by examination

    Time frame: preoperatively and 1,3,6 months postoperatively

  3. Mesh position

    Assessed radiologically by fusing postoperative CT over preoperative plan, and clinically by assessment of any palpable mesh or screws

    Time frame: radiologically: immediate, Clinically: 1,3 and 6 months postoperatively

07

Study locations

1 of 2 sites recruiting
  • Ain shams university hospitals, department of plastic, burn and maxillofacial surgery
    Cairo, Abbasia 11851, Egypt
    • Reem M. S. H. Mahmoud, MSc · Contact · resident153@med.asu.edu.eg · +201064483493
    • Reem M, S, H Mahmoud, MSc · Principal investigator
    Recruiting
  • Ain shams university hospitals
    Cairo, Cairo Governorate 1815, Egypt
    Completed
08

References and documents

Publications

  • Verbist M, Dubron K, Bila M, Jacobs R, Shaheen E, Willaert R. Accuracy of surgical navigation for patient-specific reconstructions of orbital fractures: A systematic review and meta-analysis. J Stomatol Oral Maxillofac Surg. 2024 Jun;125(3):101683. doi: 10.1016/j.jormas.2023.101683. Epub 2023 Nov 10. PubMed 37951500 ↗
  • Raisian S, Fallahi HR, Khiabani KS, Heidarizadeh M, Azdoo S. Customized Titanium Mesh Based on the 3D Printed Model vs. Manual Intraoperative Bending of Titanium Mesh for Reconstructing of Orbital Bone Fracture: A Randomized Clinical Trial. Rev Recent Clin Trials. 2017;12(3):154-158. doi: 10.2174/1574887112666170821165206. PubMed 28828975 ↗
  • Singh AK, Khanal N, Chaulagain R, Sharma N, Thieringer FM. Is the Pre-Shaping of an Orbital Implant on a Patient-Specific 3D-Printed Model Advantageous Compared to Conventional Free-Hand Shaping? A Systematic Review and Meta-Analysis. J Clin Med. 2023 May 12;12(10):3426. doi: 10.3390/jcm12103426. PubMed 37240532 ↗

Individual participant data

Plan to share: Undecided

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 20, 2026
Show all 1 update
  1. Oct 20, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07882121
Responsible party
Reem Mohamed Saad Hamed Mahmoud , MBBCh, MSc (assisstant lecturer of plastic,burn and maxillofacial surgery, Ain Shams University) — Principal investigator
First posted
Oct 20, 2026
Start date
Jun 1, 2025
Primary completion
Mar 1, 2027 (estimated)
Completion
Apr 15, 2027 (estimated)
Last update
Oct 20, 2026

Study contacts

Reem Mohamed Mahmoud, MBBCh, MSc
Contact
reem.saas@gmail.com
+201064483493, +201223418832

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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