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Bone cement repair of malleus handle fractures: Intraoperative video and case report of two patients.
Hansen, Jonathan Olsgård; Foghsgaard, Søren.
Afiliação
  • Hansen JO; Charlottenlund Private Hospital, Jægersborg Allé 4, DK-2920 Charlottenlund, Denmark; Hearing and Balance Centre, Department of Otorhinolaryngology Head & Neck Surgery and Audiology, Rigshospitalet, Inge Lehmanns Vej 8, DK-2100 Copenhagen Ø, Denmark. Electronic address: jonathan.olsgaard.hansen.01@regionh.dk.
  • Foghsgaard S; Charlottenlund Private Hospital, Jægersborg Allé 4, DK-2920 Charlottenlund, Denmark; Hearing and Balance Centre, Department of Otorhinolaryngology Head & Neck Surgery and Audiology, Rigshospitalet, Inge Lehmanns Vej 8, DK-2100 Copenhagen Ø, Denmark.
Am J Otolaryngol ; 45(3): 104256, 2024.
Article em En | MEDLINE | ID: mdl-38492552
ABSTRACT
Isolated malleus fractures are a rare occurrence with few reported cases in the literature. Symptoms include sudden otalgia, hearing loss, tinnitus and aural fullness. Work-up and diagnosis are based on a combination of thorough anamnesis and careful otoscopic evaluation or high-resolution computer tomography. We present two cases of isolated malleus handle fractures who were diagnosed based on a combination of pneumatic otoscopy and tympanometry. Both fractures were surgically repaired using hydroxyapatite bone cement as showcased in the supplemental video material. Post-operative audiometry showed improvement in the pure-tone-average of both patients as well as normalisation of tympanometry. Isolated malleus fracture should be suspected in cases of sudden hearing loss and tinnitus following digital manipulation of the outer ear canal together with a conductive hearing loss with a mostly high-frequent air-bone-gap and hypercompliant tympanometry with hypermobility of the tympanic membrane on pneumatic insufflation. Surgical repair of the fracture using bone cement has good hearing outcomes and leads to improvement in auditory symptoms.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cimentos Ósseos / Hidroxiapatitas / Martelo Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Am J Otolaryngol Ano de publicação: 2024 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cimentos Ósseos / Hidroxiapatitas / Martelo Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Am J Otolaryngol Ano de publicação: 2024 Tipo de documento: Article País de publicação: Estados Unidos