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1. Mark Bocce ball at the super pole

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2. Make another mark 3cm and 6cm from the superior pole along the circumference

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3. Draw a 3cm line perpendicular to the long axis at the 3cm point

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4. Drill a hole straight down into the superior pole using a 3/8’’ drill bit to a depth of approximately 4 cm.

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5. Rotate ball so that the 6 cm mark is now the superior-most point.

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6. Without rotating the ball further, shift entire base so that the drill bit is aligned with the 3 cm mark.  Drill a hole straight down using a 1/4’’ drill bit until it intersects and slightly passes the lumen of the first hole, about 6 cm in depth. 

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7.Drill 1 hole on either side of this hole along the pre-drawn line

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8.Connect the lumens of these holes by slowly shaving laterally with the drill press

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Note: The length of the slit opening should be the same size as the shortest dimension on your wooden or plastic slide

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5. Insert plastic/wooden slide into slit opening.

 

6. With the 3/8’’ drill bit, drill through the superior pole to make a hole in the slide.

5. Insert plastic/wooden slide into slit opening.

 

6. With the 3/8’’ drill bit, drill through the superior pole to make a hole in the slide.

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7. Load the tympanic membrane onto the slide and it's ready for use

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Completed model with slide inserted, speculum inserted on top, curved pick, myringotomy knife, cupped forceps, and ear tube arranged next to it.

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Student placing a myringotomy tube on the simulation model

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View from under the microscope placing a myringotomy tube on the simulation model

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