Middle Ear Virtual Endoscopy in Malleus Fracture and Dislocation

Ossicular injury is a frequent complication of head trauma and temporal bone fractures. An isolated fracture of the malleus with lateral dislocation of the manubrium is extremely rare. High-resolution computed tomography is the method of choice for evaluation of ossicular trauma. Virtual endoscopy (VE) is a novel technique that provides a realistic surface rendering of various organs that can be applied for the use of three-dimensional (3D) reconstruction. We report a case of malleus handle fracture and dislocation after head trauma with confirmation of the diagnosis by VE of the middle ear.