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Isolated Malleus Handle Fracture: Case Report

Laura W. J. Baijens, Johannes Jan Manni

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Abstract

A 16-year-old boy with post-traumatic hearing loss of the right ear is presented with the focus on clinical and operative observations including pre- and post-operative hearing thresholds. Pre-operative audiometry revealed a conductive hearing loss in the presence of normal otoscopy. Middle ear inspection revealed a fracture of the malleus handle with fixation of the umbo to the promontory. Hearing improved after ossiculoplasty by an incus interposition.

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What this paper is about

A 16-year-old boy with post-traumatic hearing loss of the right ear is presented with the focus on clinical and operative observations including pre- and post-operative hearing thresholds. Pre-operative audiometry revealed a conductive hearing loss in the presence of normal otoscopy. Middle ear inspection revealed a fracture of the malleus handle with fixation of the umbo to the promontory. Hearing improved after ossiculoplasty by an incus interposition.

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Available abstract

A 16-year-old boy with post-traumatic hearing loss of the right ear is presented with the focus on clinical and operative observations including pre- and post-operative hearing thresholds. Pre-operative audiometry revealed a conductive hearing loss in the presence of normal otoscopy. Middle ear inspection revealed a fracture of the malleus handle with fixation of the umbo to the promontory. Hearing improved after ossiculoplasty by an incus interposition.

Key concepts: Malleus, Incus, Promontory, Conductive hearing loss, Medicine, Audiology, Hearing loss, Middle ear

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