About this trial
This randomized clinical trial aims to evaluate the accuracy and outcomes of virtual surgical planning (VSP) compared to the traditional surgical technique in the reduction of zygomaticomaxillary complex (ZMC) fractures. Twenty patients with ZMC fractures will be randomly assigned into two equal groups: one treated using virtual planning and prebent titanium miniplates, and the other treated conventionally without virtual planning. Clinical evaluation will include facial symmetry, eye movement, and postoperative complications, while radiographic assessment will be performed using CT scans three months after surgery to measure bone formation and alignment accuracy. The study seeks to determine whether virtual surgical planning improves anatomical restoration, esthetics, and functional outcomes compared to traditional methods.
Eligibility criteria
Qualifiers
Adults (≥18 years) with clinically and radiographically confirmed ZMC fracture.
Fit for general anesthesia and able to undergo CT imaging.
Willing to sign informed consent.
Disqualifiers
Systemic diseases impairing bone healing (osteoporosis, cancer, long-term steroid use).
Noncompliance or inability to attend follow-up visits.
ASA class IV-VI.
Previous facial deformities or fractures.
Trial design
Treatments tested in this trial
- Virtual surgical planning and 3D model printing
- Prebent titanium miniplates
- Conventional open reduction and internal fixation (ORIF)
- Titanium miniplates and screws (Anton Hipp)
Treatment groups
Sponsors and collaborators
Suez Canal University
Lead sponsor
Suez canal university hospitals
Collaborator