The Locally Driven Temporal Bone Dissection Laboratory: A Sustainable Tool for Otologic Development in Sub‐Saharan Africa
Abstract Objective To evaluate the feasibility of a temporal bone dissection laboratory in Tanzania to support otologic surgical training for otolaryngologists in the region. Study Design This prospective cohort study evaluates six temporal bone laboratory training sessions over the course of 11 mon...
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Wiley
2025-04-01
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| Online Access: | https://doi.org/10.1002/oto2.70134 |
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| author | Nina R. Patel Fayaz Jaffer Aveline Kahinga Shaban Mawala Mary Jue Xu Aslam Nkya Jeffrey Sharon Eric K. Kim Sayyeda Datoo‐Jaffer Stephanie Unterrieder Ali F. Jaffer |
| author_facet | Nina R. Patel Fayaz Jaffer Aveline Kahinga Shaban Mawala Mary Jue Xu Aslam Nkya Jeffrey Sharon Eric K. Kim Sayyeda Datoo‐Jaffer Stephanie Unterrieder Ali F. Jaffer |
| author_sort | Nina R. Patel |
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| description | Abstract Objective To evaluate the feasibility of a temporal bone dissection laboratory in Tanzania to support otologic surgical training for otolaryngologists in the region. Study Design This prospective cohort study evaluates six temporal bone laboratory training sessions over the course of 11 months. Pretraining and posttraining surveys were distributed during the first year of implementation in 2023. Postsurveys were distributed both immediately and 6 months posttraining. Setting Single tertiary care academic medical center in Dar es Salaam, Tanzania. Methods Participant data for 47 attendees including country/region of practice, otologic procedures completed, and number of trainees/audiologists in their clinical practice were collected in the pretraining survey. A 5‐point Likert scale was used to assess pretraining and posttraining comfort with completing common otologic procedures. Study outcomes included comfort level, barriers to implementing acquired knowledge, and overall training quality. Results The results highlight that participants did not have pretraining comfort with, exposure to, and training with many otologic surgeries. These limitations were largely attributed to barriers identified by participants including limited access to training, learning opportunities, and equipment for otologic procedures. Findings also indicate statistically significant increases in comfort level for the majority of common otologic procedures evaluated. Conclusion This study highlights that the training has been both feasible for and desired by participants, and has addressed critical needs in continued surgical training. Temporal bone dissection labs are a feasible and highly desired model to increase the otologic capacity of practicing otolaryngologists regionally and offer a promising approach for addressing the lack of training opportunities in the region. |
| format | Article |
| id | doaj-art-4a6f9d17b3b64086907faa6589ce976e |
| institution | Kabale University |
| issn | 2473-974X |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | OTO Open |
| spelling | doaj-art-4a6f9d17b3b64086907faa6589ce976e2025-08-20T03:24:07ZengWileyOTO Open2473-974X2025-04-0192n/an/a10.1002/oto2.70134The Locally Driven Temporal Bone Dissection Laboratory: A Sustainable Tool for Otologic Development in Sub‐Saharan AfricaNina R. Patel0Fayaz Jaffer1Aveline Kahinga2Shaban Mawala3Mary Jue Xu4Aslam Nkya5Jeffrey Sharon6Eric K. Kim7Sayyeda Datoo‐Jaffer8Stephanie Unterrieder9Ali F. Jaffer10Otolaryngology–Head and Neck Surgery Department University of California San Francisco San Francisco California USAHearWell Audiology Clinic Dar es Salaam TanzaniaGlobal OHNS Initiative Dar es Salaam TanzaniaDepartment of Otorhinolaryngology Muhimbili National Hospital Dar es Salaam TanzaniaOtolaryngology–Head and Neck Surgery Department University of California San Francisco San Francisco California USADepartment of Otorhinolaryngology Muhimbili National Hospital Dar es Salaam TanzaniaOtolaryngology–Head and Neck Surgery Department University of California San Francisco San Francisco California USAOtolaryngology–Head and Neck Surgery Department University of California San Francisco San Francisco California USAHearWell Audiology Clinic Dar es Salaam TanzaniaMED‐EL Medical Electronics Innsbruck AustriaGlobal OHNS Initiative Dar es Salaam TanzaniaAbstract Objective To evaluate the feasibility of a temporal bone dissection laboratory in Tanzania to support otologic surgical training for otolaryngologists in the region. Study Design This prospective cohort study evaluates six temporal bone laboratory training sessions over the course of 11 months. Pretraining and posttraining surveys were distributed during the first year of implementation in 2023. Postsurveys were distributed both immediately and 6 months posttraining. Setting Single tertiary care academic medical center in Dar es Salaam, Tanzania. Methods Participant data for 47 attendees including country/region of practice, otologic procedures completed, and number of trainees/audiologists in their clinical practice were collected in the pretraining survey. A 5‐point Likert scale was used to assess pretraining and posttraining comfort with completing common otologic procedures. Study outcomes included comfort level, barriers to implementing acquired knowledge, and overall training quality. Results The results highlight that participants did not have pretraining comfort with, exposure to, and training with many otologic surgeries. These limitations were largely attributed to barriers identified by participants including limited access to training, learning opportunities, and equipment for otologic procedures. Findings also indicate statistically significant increases in comfort level for the majority of common otologic procedures evaluated. Conclusion This study highlights that the training has been both feasible for and desired by participants, and has addressed critical needs in continued surgical training. Temporal bone dissection labs are a feasible and highly desired model to increase the otologic capacity of practicing otolaryngologists regionally and offer a promising approach for addressing the lack of training opportunities in the region.https://doi.org/10.1002/oto2.70134otologysub‐Saharan Africasurgical educationtemporal bone |
| spellingShingle | Nina R. Patel Fayaz Jaffer Aveline Kahinga Shaban Mawala Mary Jue Xu Aslam Nkya Jeffrey Sharon Eric K. Kim Sayyeda Datoo‐Jaffer Stephanie Unterrieder Ali F. Jaffer The Locally Driven Temporal Bone Dissection Laboratory: A Sustainable Tool for Otologic Development in Sub‐Saharan Africa OTO Open otology sub‐Saharan Africa surgical education temporal bone |
| title | The Locally Driven Temporal Bone Dissection Laboratory: A Sustainable Tool for Otologic Development in Sub‐Saharan Africa |
| title_full | The Locally Driven Temporal Bone Dissection Laboratory: A Sustainable Tool for Otologic Development in Sub‐Saharan Africa |
| title_fullStr | The Locally Driven Temporal Bone Dissection Laboratory: A Sustainable Tool for Otologic Development in Sub‐Saharan Africa |
| title_full_unstemmed | The Locally Driven Temporal Bone Dissection Laboratory: A Sustainable Tool for Otologic Development in Sub‐Saharan Africa |
| title_short | The Locally Driven Temporal Bone Dissection Laboratory: A Sustainable Tool for Otologic Development in Sub‐Saharan Africa |
| title_sort | locally driven temporal bone dissection laboratory a sustainable tool for otologic development in sub saharan africa |
| topic | otology sub‐Saharan Africa surgical education temporal bone |
| url | https://doi.org/10.1002/oto2.70134 |
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