Patient-specific Reconstruction Plate for Segmental Mandibular Defects

NCT ID: NCT07320924

Last Updated: 2026-01-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

14 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-01-01

Study Completion Date

2026-08-30

Brief Summary

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The mandible's horseshoe-shaped anatomy makes the reconstruction of segmental defects a challenging procedure. Conventional reconstruction typically relies on alloplastic plates to bridge bony stumps; however, these require extensive intraoperative bending, often resulting in imperfect adaptation, press-to-contact fixation, and residual stresses that increase the risk of hardware fatigue and fracture. Recent advances in computer-aided design and manufacturing (CAD/CAM) and virtual surgical planning (VSP) have improved precision in maxillofacial reconstruction. Patient-Specific Reconstruction Plates (PSRP), developed from virtual planning and patient-specific anatomical data, offer a bespoke contour adaptation, predictable screw positioning, and elimination of press-fit deformation. This customization improves alignment, mechanical stability, and long-term outcomes.

Detailed Description

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The study aims to assess the clinical performance and morbidity rate of computer-guided PSRP in the management of mandibular segmental defects.

This prospective interventional clinical trial will be conducted on a total of 14 patients with a segmental mandibular defect, recruited from Alexandria University Teaching Hospital. All patients will be reconstructed using a PSRP alloplastic bridging plate, utilizing a preoperative virtual surgical planning and design. Patients will be evaluated clinically for the rate of morbidity and range of mandibular excursions. Furthermore, postoperative radiographic 3D analysis will evaluate the accuracy of the computer-guided procedure.

Conditions

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Mandibular Resection Mandibular Reconstruction* / Methods Mandibular Reconstruction

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Patient specific reconstruction plate

patient with mandibular ablation defect managed with patient specific reconstruction plate

Group Type EXPERIMENTAL

Patient specific reconstruction plate

Intervention Type DEVICE

Patient specific reconstruction plate

Interventions

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Patient specific reconstruction plate

Patient specific reconstruction plate

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Patients with a segmental mandibular continuity defect, not involving the condyle.
2. Patients suffering from benign, locally invasive or malignant lesions that involving the lower border of the mandible.
3. Patients with recurrent lesions after resection.
4. Patients dealing with osteomyelitis or jaw osteonecrosis that is indicated for sequestrectomy.

• Stage-III jaw osteonecrosis.
5. Patients with traumatic defects.
6. Patients with post-gunshot mandibular defects.

Exclusion Criteria

1. Medically compromised patients contradict the operation.
2. Patients with segmental mandibular defects that require condylar process resection
3. Patients with lateral segmental mandibular defects involving the condyle that require reconstruction using an alloplastic total joint.
4. Patients with an active infection at the site of resection.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Alexandria University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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yehia M El-Mahallawy, Phd

Role: PRINCIPAL_INVESTIGATOR

Faculty of Dentistry, Alexandria University, Alexandria, Alexandria

Locations

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Faculty of Dentistry, Alexandria University

Alexandria, Alexandria Governorate, Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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yehia A El-Mahallawy., PhD

Role: CONTACT

+201007217014. ext. 002

Facility Contacts

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Yehia A El-Mahallawy, PhD

Role: primary

+201007217014

Other Identifiers

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20-12-25/PSRP

Identifier Type: -

Identifier Source: org_study_id

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