Myringotomy 1886. The vinyl tube used today was introduced by Beverley Armstrong in 1954. There are numerous indications for tympanostomy in the pediatric age group, the most frequent including chronic otitis media with effusion (OME) which is unresponsive to antibiotics, and recurrent otitis media. Adult indications differ somewhat and include Eustachian tube dysfunction with recurrent signs and symptoms, including fluctuating hearing loss, vertigo, tinnitus, and a severe retraction pocket in the tympanic membrane. Recurrent episodes of barotrauma, especially with flying, diving, or hyperbaric chamber treatment, may merit consideration. Myringotomy is usually performed as an outpatient procedure. General anesthesia is preferred in
Body part as an object distinguished by how they are carried out. For example, BPO mime gestures are differentiated by the insertion of a body part to help represent the object itself. Conversely, Imaginary object (IO) pantomimes occur when an individual mimes the use of an object as though the object were actually present. Using a similar example to above, an IO pantomime occurs as an individual pretends to brush their teeth by positioning the hand and fingers as though the toothbrush were actually in their hand: they are pretending the object is actually present. BPO, and BPO measures particularly, are notable in that they