Ein ungewöhnlicher Fall: Fraktur des Hammergriffs durch Fingermanipulation

Publikation: Beitrag in Fachzeitschrift (peer-reviewed)Artikel in Fachzeitschrift

Abstract

An isolated fracture of the handle of the malleus is a rare entity in otorhinolaryngology and manifests clinically as acute-onset unilateral hearing loss. Several factors may cause this injury, including acute barotraumatic pressure changes or traumatic events. Various therapeutic approaches such as tympanoplasty, autologous graft, or application of bone cement are discussed. We report the case of a 46-year-old female patient who developed acute hearing loss in her left ear after finger manipulation. Clinical evaluation revealed axial displacement of the handle of the malleus and audiometry indicated conductive hearing loss. After otoscopy, audiometry, and computed tomography, tympanoscopy was indicated due to suspicion of ossicular chain disruption. Intraoperatively, an isolated fracture of the handle of malleus was found, which was treated with glass ionomer cement. Following postoperative examination, there was progressive improvement in the acoustic transmission component, such that a normal hearing threshold was observed 4 months postoperatively. This case report underlines the importance of precise diagnosis and individualized treatment for rare middle ear injuries.

Titel in ÜbersetzungAn unusual case: fracture of the handle of the malleus due to finger manipulation
OriginalspracheDeutsch
Seiten (von - bis)668-672
Seitenumfang5
FachzeitschriftHNO
Jahrgang72
Ausgabenummer9
Frühes Online-Datum22 Juli 2024
DOIs
PublikationsstatusVeröffentlicht - Sept. 2024

Schlagwörter

  • Malleus/injuries
  • Hearing Loss, Conductive/etiology
  • Diagnosis, Differential
  • Humans
  • Middle Aged
  • Finger Injuries/surgery
  • Female
  • Treatment Outcome
  • Rare Diseases
  • Fractures, Bone/surgery

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