. Glasgow Temporal Bone Course - Contents .
Courses: Plastic Bones:		Emphasis is placed on the acquisition of the basic surgical skills required for ear surgery. Instruction is given on the use of the operating microscope and surgical instruments and in the performance of the common ear operations including grommet insertion, myringoplasty, ossiculoplasty, intact canal wall mastoidectomy, posterior tympanotomy, open cavity mastoidectomy, facial nerve exposure. Supervised dissection proceeds at a pace determined by the participant. Leica bench microscopes provide magnificent illumination and depth of focus. The maximum number of participants is 24, divided into two groups which alternate between dissecting and having a tutorial. Plastic bones, manual, lunches, reception, course dinner, and photograph are included in the fee. Participants may purchase at special rates, extra plastic bones, textbooks and slide collections prepared by the tutors. Certificates are awarded on completion of the course.

Course Timetable

	Wednesday	Thursday Day	Friday Day
08.30-09.00	Registration	Lab opens	Lab opens
09.00-10.30	Dissection	Dissection	Dissection to 11.00
10.30-12.00	Tutorial 1	Tutorial 3	Tutorial 5  to 13.00
12.00-13.00	Photo, Lunch	Lunch	Finish at 13.00. Lunch, certificates.
13.00-15.00	Dissection	Dissection
15.00-17.00	Tutorial 2	Tutorial 4
17.00-19.00	Reception
19.30-23.00		Course Dinner

Dissection

BONE 1

Practical Skills		Procedures
Use of operating microscope Use of suction and irrigation		Clean debris out external auditory canal. View TM and identify disease
Use of myringotomy knife and microforceps		Myringotomy, grommet, T tube insertion

BONE 2

Practical Skills		Procedures
Use of canal skin knives and elevators		Raise tympanomeatal flap
Use of fascia (drying, shaping)		Myringoplasty
Use of curette		Explore oval window
Use of needles and hooks		Disarticulate incudo-malleal joint and extract incus
Use of micro-burr		Reshape incus for ossiculoplasty
Use of microforceps, needles etc.		Perform ossiculoplasty and repeat myringoplasty
Use of drill and suction		Perform extended cortical mastoidectomy. Thin posterior canal wall (without deficit). Expose malleus head. Perform anterior and posterior tympanotomy. Lower posterior canal wall and create a bridge. Curette bridge and lower canal wall. Expose second genu and descending facial nerve.

BONE 1 again

Practical Skills	Procedures
Multiple skills	Atticotomy Attico-antrostomy to expose disease Dissection of disease. Modified radical mastoidectomy

Tutorials

Tutorial 1.	Anatomy of the external auditory canal, middle ear and mastoid air cell system.	Iain RC Swan.
Tutorial 2.	Applied physiology of the external auditory canal and middle ear. Canalplasty and myringoplasty techniques.	George G Browning.
Tutorial 3.	Meatoplasty and mastoid surgery techniques.	Alastair M Pettigrew.
Tutorial 4.	Diagnosis and classification of chronic otitis media. Ossiculoplasty and stapedotomy techniques.	George G Browning
Tutorial 5.	Outcomes and results of ear surgery.	Iain RC Swan.