Dear Editor,


First of all, we are very grateful for the interest in our study in which we have tried to map the current status of temporal bone training in Europe. We were, however, unsuccessful in our repeated invitations to get some country representatives to forward our questionnaire to all national training departments. Consequently, these countries are poorly represented or not represented at all. We admire the training opportunities described by our colleague, but as our study demonstrates, such outstanding opportunities are unfortunately not guaranteed throughout Europe, and for this reason, supplemental training is needed. We support the need for training on cadaveric material especially for the further refinement of skills after the acquisition of basic competencies, for which simulation-based training is excellent and can supplement and save donated material. We are firm believers and enthusiastic researchers in evidence-based education, and as our colleague, we encourage increased awareness of the current issues of securing adequate training in temporal bone surgery, whether virtual, artificial, or “wet”.