CLINICAL VIDEO
An isolated traumatic fracture of the malleus handle Sertac Yetiser Department of ORL & HNS, Anadolu Medical Center, Gebze, 41400, Kocaeli, Turkey
Correspondence Sertac Yetiser, Department of ORL & HNS, Anadolu Medical Center, Gebze, 41400, Kocaeli, Turkey. Tel: +902626785000-5169; Fax: +902626540529; E-mails:
[email protected] and
[email protected]
Key Clinical Message
Funding Information No sources of funding were declared for this study.
Keywords
Traumatic fracture of the malleus handle without tympanic membrane perforation is a rare incidence. Diagnosis of conductive hearing loss can only be confirmed with manipulation of the ossicles under sedation as computerized tomography is not informative. We present a 39-year-old lady with Q-tip injury when she get sudden phone call.
Malleus fracture, trauma.
Received: 5 March 2017; Revised: 24 April 2017; Accepted: 8 May 2017 Clinical Case Reports 2017; 5(7): 1197 doi: 10.1002/ccr3.1028
Fracture of the malleus handle is a rare ossicular injury, and fewer than 50 cases have been reported [1]. It is not easy to detect the malleus handle fracture with computerized tomography if there is no displacement or rotation of the fractured fragment. Careful otoscopic manipulation of the ossicles under sedation provides recognition of the fracture. Surgical management is challenging as spontaneous or assisted refixation is difficult due to mobile tympanic membrane [2]. We report a 39-year-old lady who had an isolated fracture of the malleus handle without tympanic membrane perforation due to Q-tip injury (Video S1). Patient had 25 dB conductive hearing loss pronounced at middle and high frequencies. She refused any surgery.
Authorship SY: reviewed the data and prepared the manuscript.
Conflict of Interest
institutional, and other relationships that might lead to bias or a conflict of interest. This study has no grant or funding. References 1. Ayache, D., and M. T. Williams. 2003. Imaging case of the month. Malleus handle fracture. Otol. Neurotol. 24:519– 520. 2. Applebaum, E. L., and A. D. Golgin. 2000. Surgical management of isolated malleus fractures. Laryngoscope 110:171–173.
Supporting Information Additional Supporting Information may be found online in the supporting information tab for this article: Video S1. An isolated traumatic fracture of the malleus handle is seen during otoscopic examination. Note that there is no tympanic membrane perforation.
I hereby declare that I do not have any conflict of interests in the manuscript, including financial, consultant,
ª 2017 The Author. Clinical Case Reports published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
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