Aim <p>This study aims to compare the volumetric changes of the orbit after using conventional technique or virtual navigation endoscopically integrated and virtual planning in orbital trauma.</p> Methods <p>This is an analytical prospective cohort study. The sample was subjects that underwent primary reconstruction for unilateral orbital deformities secondary to trauma. The population was divided into three groups: A control group in order to establish in our patients a reference of the standard difference between both orbits (Group 1). The conventional technique (Group 2) and virtual navigation endoscopically integrated combined with virtual planning (Group 3). Both groups were compared separately with the control group.</p> Results <p>In total, 18 patients were divided into three groups. In Group 2, the differential between the orbits was 6.31. In Group 3, the differential between both orbits was 1.14 finding statistically significant differences between Group 1 and Group 2 (<i>p</i> = 0.02), and between Group 2 and Group 3 (<i>p</i> = 0.03). Additionally, between Group 1 and Group 3 no statistically significant differences were found (<i>p</i> = 0.10).</p> Conclusion <p>Combining these two techniques into the same instrument for orbital reconstruction can be a great alternative and can be useful to decrease the risk of complications associated with this procedure and improve the results and sequelae.</p>