Learning Objectives: Surgical training is constantly evolving with greater emphasis placed on simulation. In particular, the understanding of complex three-dimensional anatomy in temporal bone dissection necessitates significant additional training outside of the operating theatre. While virtual reality systems have been developed recently, cadaveric dissection remains the gold standard for simulation.

Several variations of temporal bone holder have been developed but all have limitations. The ideal temporal bone holder should remain stable in multiple orientations but also adjust easily. It should not obstruct the surgical view and should simultaneously provide adequate drainage of bony debris.

The temporal bone holders that are currently commercially available for both ENT departments and temporal bone laboratories, are expensive and have scope for refinement. With this in mind we have produced an extremely cheap alternative that allows trainees to maintain a stable surgical position and facilitate excellent surgical orientation.