{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T10:23:04Z","timestamp":1773829384385,"version":"3.50.1"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2024,7,22]],"date-time":"2024-07-22T00:00:00Z","timestamp":1721606400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,7,22]],"date-time":"2024-07-22T00:00:00Z","timestamp":1721606400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100022308","name":"Karl Landsteiner Privatuniversit\u00e4t f\u00fcr Gesundheitswissenschaften","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100022308","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["HNO"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Die isolierte Hammergrifffraktur ist eine seltene, aber klinisch relevante Verletzung im Mittelohr, die zu einer einseitigen H\u00f6rminderung f\u00fchrt. Ursachen k\u00f6nnen akute Druckver\u00e4nderungen oder traumatische Ereignisse sein. Verschiedene Therapieans\u00e4tze wie Tympanoplastik, Transposition von autologem Material oder Applikation von Knochenzement werden diskutiert. In dieser Kasuistik wird eine 46-j\u00e4hrige Patientin mit einseitiger H\u00f6rminderung nach Manipulation im Ohr beschrieben. Klinisch zeigen sich eine Achsenfehlstellung des Hammergriffs und eine Schallleitungsh\u00f6rminderung in der Audiometrie. Die Verdachtsdiagnose lautet Unterbrechung der Geh\u00f6rkn\u00f6chelchenkette. Im Rahmen einer Tympanoskopie wird die Diagnose isolierte Hammergrifffraktur gestellt. Es wird in weiterer Folge Glasionomerzement zur Rekonstruktion des Hammergriffs verwendet. Postoperativ verbessert sich die H\u00f6rfunktion signifikant, mit einer vollst\u00e4ndigen Remission der H\u00f6rminderung nach vier Monaten. Diese Kasuistik zeigt die Bedeutung einer umfassenden Diagnostik und Erfahrung des Operateurs bei der Auswahl der Therapie.<\/jats:p>","DOI":"10.1007\/s00106-024-01503-1","type":"journal-article","created":{"date-parts":[[2024,7,22]],"date-time":"2024-07-22T10:01:58Z","timestamp":1721642518000},"page":"668-672","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Ein ungew\u00f6hnlicher Fall: Fraktur des Hammergriffs durch Fingermanipulation","An unusual case: fracture of the handle of the malleus due to finger manipulation"],"prefix":"10.1007","volume":"72","author":[{"given":"Peter M.","family":"Mair","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Mayr","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georg","family":"Sprinzl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Astrid","family":"Magele","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,7,22]]},"reference":[{"issue":"9","key":"1503_CR1","doi-asserted-by":"publisher","first-page":"898","DOI":"10.1017\/S0022215107000990","volume":"122","author":"W Chien","year":"2008","unstructured":"Chien\u00a0W, McKenna\u00a0MJ, Rosowski\u00a0JJ, Merchant\u00a0SN (2008) Isolated fracture of the manubrium of the malleus. 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F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien. F\u00fcr Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts, \u00fcber die Patient\/-innen zu identifizieren sind, liegt von ihnen und\/oder ihren gesetzlichen Vertretern\/Vertreterinnen eine schriftliche Einwilligung vor.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}