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
What Part of No "Watch Me" and "Five Minutes", sends a message that the singer "takes clear control of her relationships" and then discusses similar trends in songs by other artists. The song is also mentioned in the introduction to a legal article, "What Part of 'No' Don't You Understand?", as "forcefully relat[ing] the anguish of a victim of sexual harassment." What Part of No "What Part of No" is a song written by Wayne Perry and Gerald Smith, and recorded by American country music artist Lorrie Morgan. It was released in December 1992 as the second single from her album "Watch Me". The