Traumatic disruption of the ossicular chain due to an unusual pathomechanism – a case series

Background Traumatic middle ear injuries also include interruptions of the ossicular. An injury pattern involving the malleus is a rarity and is reported in the literature to occur in 2% of cases. An isolated malleus handle fracture is probably a frequently unrecognized injury due to the intact tympanic membrane. Audiological findings typically include conductive hearing loss and excessive compliance in the tympanogram. Inspection with the Siegle pneumatic ear speculum reveals increased movement of the malleus handle distal to the fracture.