Viktoras Pivrikas


The training literature may be perfectly written and illustrated, however, it will never replace the practical courses of temporal bone dissection. In order to reduce surgery and failure risks, the lessons must be practiced over and over again. There is a wise spanish proverb saying „ if you follow the path called Later, you will arrive destination named Never“. Otosurgeon is a man of silence whose work starts when the sound of words dies away. Temporal bone dissection laboratory is the place where otosurgeon either individually or guided by a qualified specialist must learn, „train the hand“, practice with work tools and develop attentiveness in regards with complicated segments of temporal bone anatomy. The experience must be gained every day by overcoming dangers hundreds of times, by performing decompression of facial nerve using diamond burr and through thin bone membrane recognizing its pearl like membrane until one is fully convinced that the „stranger“ – the facial nerve has become one‘s friend. The article in detail analyzes the importance of temporal bone dissection, the patologoanatomic techniques of temporal bone removal, conservation of temporal bone, medical equipment of temporal bone laboratory. The article is the result of close and long-term collaboration between French Institute of Otology, Klaipeda University and Klaipeda University Hospital. The historical aspects of temporal bone dissection are described in detail in monograph called „The History of Otology“by Andre A.Sultan and V.Pivrikas, therefore, these aspects will not be discussed in this article.


Keyword(s): otosurgery, conservation of temporal bone, temporal bone dissection, laboratory equipment for temporal bone dissection
DOI: 10.5200/sm-hs.2013.072
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