Temporal Bone Dissection Workshop Microscopic and Endoscopic
( Hybrid ) 2023
The workshop was held for 2 days 29th and 30th April 2023 by our renowned International Guest Faculty Dr K. P. Morwani and Dr Mubarak Khan with 4 MMC credit points. Workshop was held in Anatomy dissection hall, Dr D. Y. Patil Medical College, hospital and Research centre. The beneficiaries were ENT residents and faculty of various colleges and hospitals from different parts of India. There were 10 microscopes for which 10 hands – on temporal bone dissectors were registered along with 35 observers. 6 were registered for hands – on endoscopic temporal bone dissection with 28 Observers. Registration started at 8:00 AM followed by breakfast. There were total 79 registrations. The first session started at 9:30 AM with excellent presentation by Dr Preeti Sonje , Professor and HOD department of Anatomy and Dr Neelesh Kanaskar, Professor dept of anatomy on anatomy of temporal bone and middle ear cleft. It was followed by presentation by Dr Sapna Parab, famous ENT surgeon on steps involved in endoscopic tympanoplasty and inside out mastoidectomy. 11:00 AM onwards, Dr K. P. Morwani gave a road map view video demonstration of inside out mastoidectomy . The possible difficulties while drilling the bone and methods to overcome them was very well taught. All the steps of inside out mastoidectomy were taught. Identification of middle ear structures - sinus tympani, round window membrane, ossicles , tensor tympani and stapedius tendon were very well demonstrated and taught. Identification of side of the ear, fixing the temporal bone on temporal bone holder was taught by different faculty to the budding ENT surgeons.
Simultaneously, Dr Mubarak Khan demonstrated on harvesting tragal cartilage graft and grommet insertion in the cadaveric tympanic membrane. All 6 delegates performed on the bones given to them. Dr Sapna Parab, explained about how to use the endoholder, endoscope and orientation to the monitor. Faculty guided the dissectors in performing the demonstrated steps. Later, Dr Mubarak Khan, demonstrated steps of inside out mastoidectomy which was later performed by all the dissectors under supervision of Dr Mubarak Khan and Dr Sapna Parab. At 1:00 PM Inauguration of the workshop was done by renowned International Guest Faculty Dr K. P. Morwani, ENT and skull base surgeon , Dr Mubarak Khan, Otologist and endoscopic ENT surgeon, Dr. Yashraj Patil , Trustee and Treasurer DPU, Principal Director & CEO Brig. Dr. Amarjeet Singh, Director Academics /IQAC Dr. P.Vatsalaswamy, Dean Dr. J. S. Bhawalkar, HOD Otorhinolaryngology Dr. G. D. Mahajan , Dr Preeti Sonje , Professor and HOD department of Anatomy, Organising chairman Dr Vinod Shinde, Organising secretary Dr Mayur Ingale and Dr Paresh Chavan, Organising treasurer Dr Rashmi Prashant .Felicitation of Dr K. P. Morwani and Dr Mubarak Khan was done by Dr. Yashraj Patil. Organising chairman Dr Vinod Shinde felicited Dr. Yashraj Patil, Trustee and Treasurer DPU, Principal Director & CEO Brig. Dr. Amarjeet Singh, Director Academics /IQAC Dr. P.Vatsalaswamy, Dean Dr. J. S. Bhawalkar, HOD Otorhinolaryngology Dr. G. D. Mahajan, Dr Preeti Sonje , Professor and HOD department of Anatomy .
Introduction of Guest faculty and compeering was done by Dr. Shaily Mody, assistant professor dept of ENT. Welcome speech was given by Dr J. S. Bhawalkar, dean Dr D. Y. Patil Medical College, hospital and Research centre. Inauguration was followed by temporal bone dissection by the delegates. Sessions were very much informative which guided the delegates to perform good temporal bone dissections. Dissections continued till 6 PM under the guidance of all ENT department faculty and guest faculty. On 30th April, session started with presentation by Dr Rajashree, Associate professor, department of Radiology followed by interactive sessions between Dr Morwani, Dr Khan and delegates. Reviews of temporal bones were done by Guest faculty. Dr Anuja Satav got Best temporal bone dissection certificate and Dr Aastha Bhatnagar bagged 2nd prize for best temporal bone dissection. The workshop ended with a vote of thanks note by Dr Rashmi Prashant .
Minutes of discussion are as follows:
- Identifying Mc. Evan’s triangle.
- Steps of inside out mastoidectomy, completing cortical mastoidectomy.
- Identifying all the middle ear structures.
- Canal wall down mastoidectomy
- Facial nerve course from internal auditory meatus upto stylomastoid foramen.
- Debreasting facial nerve.
- Site of posterior tympanotomy .
- Delineating the semicircular canal.
- Grommet insertion was demonstrated and taught by Dr Mubarak Khan.