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Garov E.V.

Sverzhevky Research Clinical Institute of Otorhinolaryngology

Zelenkova V.N.

Research Clinical Institute of Otorinolaryngology named after. L.I. Sverzhevsky

Garova E.E.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Tomilov F.A.

Pirogov Russian National Research Medical University

Isolated malleus handle fracture: cases report and literature review

Authors:

Garov E.V., Zelenkova V.N., Garova E.E., Tomilov F.A.

More about the authors

Journal: Russian Bulletin of Otorhinolaryngology. 2021;86(6): 87‑91

DOI: 10.17116/otorino20218606187

Views: 1150

Downloaded: 49

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Table of contents

To cite this article:

Garov EV, Zelenkova VN, Garova EE, Tomilov FA. Isolated malleus handle fracture: cases report and literature review. Russian Bulletin of Otorhinolaryngology. 2021;86(6):87‑91. (In Russ.)
https://doi.org/10.17116/otorino20218606187

Подписка 2025 (Russian Bulletin of Otorhinolaryngology)
 
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The isolated malleus handle and neck fractures are rare pathology which demands detailed diagnosis and individual treatment plan in every case. Sometimes it could heal without surgery, but in most part of cases surgical treatment is indicated. The short literature review and 2 clinical cases of this pathology are presented in this article. We describe our own variants of surgery repair with autologous cartilage with good results.

Keywords:

malleus fracture
conductive hearing loss
autologous cartilage
computed tomography

Authors:

Garov E.V.

Sverzhevky Research Clinical Institute of Otorhinolaryngology

Zelenkova V.N.

Research Clinical Institute of Otorinolaryngology named after. L.I. Sverzhevsky

Garova E.E.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Tomilov F.A.

Pirogov Russian National Research Medical University

Received:

06.03.2020

Accepted:

04.05.2020

List of references:

  1. Chien W, McKenna M, Rosowski J, Merchant S. Isolated fracture of the manubrium of the malleus. The Journal of Laryngology and Otology. 2008;122(9):898-904.  https://doi.org/10.1017/S0022215107000990
  2. Blanchard M, Abergel A, Verillaud B, Williams M, Ayache D. Isolated malleus-handle fracture. Auris Nasus Larynx. 2011;38(4):439-443.  https://doi.org/10.1016/j.anl.2010.11.011
  3. Delrue S, De Foer B, van Dinther J, Zarowski A, Somers T, Casselman J, Offeciers E. Handling an isolated malleus handle fracture: current diagnostic work-up and treatment options. The Annals of Otology, Rhinology, and Laryngology. 2015;124(3):244-249.  https://doi.org/10.1177/0003489414550240
  4. Cavada MN, Patel N. Isolated traumatic fracture of the malleus handle causing hearing fluctuation. Otology and Neurotology. 2019;40(3):244-247.  https://doi.org/10.1097/mao.0000000000002111
  5. Volders D, Somers Th, Casselman J. High resolution CT diagnosis of isolated fracture of the malleus handle. JBR—BTR. 2012;95(1):35.  https://doi.org/10.5334/jbr-btr.570
  6. Orabi A. Isolated malleus neck fracture. Acta Otolaryngologica. 2006;126(3):321-322.  https://doi.org/10.1080/00016480410022895
  7. Zhao N, Perez P, Sharon J. Isolated malleus fracture from Sneezing: A case report. Cureus. 2019;11(6):e5037. https://doi.org/10.7759/cureus.5037
  8. Patyakina OK, Fedorova OV, Voronin MS. Diagnostic criteria and therapeutic tactics for traumatic injuries of ear structures. Vestnik otorinolaringologii. 2000;5:39-42. (In Russ.).
  9. Sepulveda I, Ulloa J, Santamaría A, Rivas-Rodriguez F. Bilateral fracture of the handle malleus: A case report and review of the literature. Journal of Clinical Imaging Science. 2018;8:49.  https://doi.org/10.4103/jcis.JCIS_44_18
  10. Garov EV, Antonyan RG, Sidorina NG, Fedorova OV, Golubovsky OA, Zagorskaya EE, Lyalina VL, Krechetov GM. Treatment of patients with damage to the functional hearing system in explosive barotrauma. Vestnik otorinolaringologii. 2005;4:35-37. (In Russ.).

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