Author: Dr Peter de Souza
Last modified: 27 November 2023

The malleus is the largest of the three ossicles (which include the incus and the stapes). It is just under a centimere long and is comprised of the following components:

  • Handle of malleus (manubrium) – attaches to tympanic membrane
  • Neck
  • Head – rounded part, lies in epitympanic recess superiorly, articulates with the incus via its posterior surface.
  • Articular facet for incus - consists of a larger upper portion and a smaller lower portion
  • Anterior process – spindle shaped projection which attaches to the anterior wall of the middle ear
  • Lateral process – conical projection which attaches to anterior/posterior malleolar folds of tympanic membrane