Traumatic incudomalleolar disarticulation

Abstract Traumatic head injuries can be associated with ossicular chain disruption. Especially in the setting of temporal bone fractures, proper alignment of the ossicular chain has to be insured. Loss of normal ossicular alignment is associated with conductive hearing loss. Treatment of ossicular chain disruption, so called ossiculoplasty, aims to restore proper anatomic alignment of the ossicles with osseous or cartilaginous autograft and/or prosthetic devices.