case_images: PMC6251240_01
case_images: 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.
case_images: JCIS-8-49-g002.jpg
case_images: PMC6251240_01_JCIS-8-49-g002.jpg
case_images: F1
case_images: 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).
case_images: JCIS-8-49-g003.jpg
case_images: PMC6251240_01_JCIS-8-49-g003.jpg
case_images: F2
case_images: 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).
case_images: JCIS-8-49-g004.jpg
case_images: PMC6251240_01_JCIS-8-49-g004.jpg
case_images: F3
case_images: 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).
case_images: JCIS-8-49-g005.jpg
case_images: PMC6251240_01_JCIS-8-49-g005.jpg
case_images: F4
case_images: Intraoperatively, the malleus handle fracture was visualized [Figure 4], reduced, and fixed with glass ionomer cement (GIC).