DISCUSSION

We present a patient of an isolated fracture of the manubrium of the malleus. The diagnosis should be suspected on the basis of clinical history, as well as audiometric and tympanometric data. These fractures can, however, be overlooked or misdiagnosed, as the otomicroscopic examination may be unrevealing (4). Imaging therefore remains an important adjunct in the diagnosis of manubrial fractures. Fractures with minimal displacement may, however, not be detected even with high-resolution CT. In contrast, FPCT with secondary reconstructions is a novel imaging technique that provides greater spatial resolution that conventional CT. FPCT should therefore be considered for interrogating temporal bone pathology whose radiographic diagnosis requires the ability to depict fine bony detail,