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J Clin Imaging Sci. 2018 Nov 15;8:49. doi: 10.4103/jcis.JCIS_44_18. eCollection 2018.

Bilateral Fracture of the Handle Malleus: A Case Report and Review of the Literature.

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Finis Terrae University School of Dentistry, Radiology Department, ENT-Head and Neck Surgery Service, General Hospital of Concepcion, Concepción, Chile.
ENT-Head and Neck Surgery Service, General Hospital of Concepcion, University of Concepción, School of Medicine, Concepción, Chile.
Department of Radiology, Division of Neuroradiology, University of Michigan Health System. Ann Arbor, Michigan, USA.


Malleus fracture is a rare condition. Usually, the handle of the malleus is involved, and we do not find reports in the literature of this condition in the bilateral presentation. It is present as sudden conductive hearing loss commonly after digital manipulation of the external auditory canal. The diagnosis is based principally on clinical examination by otomicroscopy and audiometry. Cone-beam computed tomography emerging as a powerful tool in the field of otolaryngology, especially for explorations of paranasal sinuses and temporal bone, due to imaging with a high resolution and few artifacts with lower dose radiation in comparison with multislice computed tomography.


Bilateral; cone-beam computed tomography; fracture; handle; malleus

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