PMC6251240_01
A 56-year-old female with fracture of the handle malleus who presented with right conductive hearing loss. Audiogram: Shows a conductive hearing loss on the right ear, especially at the high frequencies (air-bone gap) 18 dB.
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F1
A 56-year-old female with fracture of the handle malleus who presented with right conductive hearing loss. Cone-beam computed tomography of temporal bone shows isolated left fracture of the handle malleus (white arrows). Coronal (a). Oblique sagittal (b). Osseous volume rendering (c and d).
JCIS-8-49-g003.jpg
PMC6251240_01_JCIS-8-49-g003.jpg
F2
A 56-year-old female with fracture of the handle malleus who presented with right conductive hearing loss. Cone-beam computed tomography of temporal bone shows an isolated right fracture of the handle malleus (white arrows). Coronal (a). Oblique sagittal (b). Osseous volume rendering (c and d).
JCIS-8-49-g004.jpg
PMC6251240_01_JCIS-8-49-g004.jpg
F3
A 56-year-old female with a fracture of the handle malleus who presented with right conductive hearing loss. Exploratory tympanostomy showed a right handle malleolus fracture (yellow arrows).
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PMC6251240_01_JCIS-8-49-g005.jpg
F4
Intraoperatively, the malleus handle fracture was visualized [Figure 4], reduced, and fixed with glass ionomer cement (GIC).