Isolated malleus-handle fracture surgical repair using tragal cartilage

Handling an Isolated Malleus Handle Fracture

“…In our cases, no complete closure of the ABG was obtained, which is similar to other published cases. 9,11,17 Meanwhile, there was a significant subjective improvement of hearing, tinnitus, and pressure sensation.…”

“…7,8 So far, around 80 cases of an isolated malleus handle fracture have been published, including older publications and reports in other languages. [9][10][11][12][13] Patients with an isolated malleus handle fracture complain of sudden hearing loss, aural fullness, a clicking sensation, or tinnitus. Vertigo is uncommon.…”

Ossiculoplasty on Isolated Malleus Fractures

“…The ossiculoplasty methods that have been used to treat isolated malleus fractures are, for example, fixation of the broken shaft with bone cement [2,3], or ossiculoplasty with either a partial ossicular replacement prosthesis (PORP) [4,5] or a total ossicular replacement prosthesis (TORP) [6]. Different methods of ossiculoplasty have also been tried to spare the ossicular chain, as for example stabilization of the fracture with bone chips [7,8] or with cartilage [9]. Because of the infrequent cases of isolated malleus fractures, it is nearly impossible to design a prospective study for comparing different ossiculoplasty methods to evaluate which methods give the best hearing results.…”

Forces Required for Isolated Malleus Shaft Fractures

“…Injury including the malleus is rare and occurs in only 2% of the cases (1). Isolated malleus shaft fractures are exceedingly rare in the clinic as well as in the literature with less than 100 published cases (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11). However, several authors underline that this condition is easily missed since the tympanic membrane is intact (2)(3)(4)(5)(6)(7)(9)(10)(11), thus leading to its underdiagnosis (3,4,7).…”

“…Isolated malleus shaft fractures are exceedingly rare in the clinic as well as in the literature with less than 100 published cases (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11). However, several authors underline that this condition is easily missed since the tympanic membrane is intact (2)(3)(4)(5)(6)(7)(9)(10)(11), thus leading to its underdiagnosis (3,4,7). In most recently published cases, the symptomatology of an isolated malleus fracture is similar, i.e., a short, sharp pain with a small to intermediate residual conductive hearing loss that occurs after the patient had used a finger to evacuate the wet ear canal after a shower or bath (3).…”