I'm looking for information on the ritual use of a thod rgna, a tibet drum formed from crowns of two human skulls joined to form hourglass shape.

Ter Ellingson's article "Drums"  in Encyclopedia of Religion (Harvard Login) makes cursory reference to the drum you describe (Sanskrit: kāpāla-ḍamaru):

Dorje, Rinjing, and Ter Ellingson. ""Explanation of the Secret Gcod Ḍa Ma Ru" an Exploration of Musical Instrument Symbolism." Asian Music 10, no. 2 (1979): 63-91. A discussion of musical instruments (and thod rnga) begins on p.69.

Fuentes, Ayesha. "Interpreting Human Remains in Tibetan Ritual Objects." Material Religion 13, no. 3 (2017): 397-98.

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