Myringotomy minor procedure. Those requiring myringotomy usually have an obstructed or dysfunctional eustachian tube that is unable to perform drainage or ventilation in its usual fashion. Before the invention of antibiotics, myringotomy without tube placement was also used as a major treatment of severe acute otitis media (middle ear infection). The words myringotomy, tympanotomy, tympanostomy, and "tympanocentesis" overlap in meaning. The first two are always synonymous, and the third is often used synonymously. The core idea with all of them is cutting a hole in the eardrum to allow fluid to pass through it. Sometimes a distinction is drawn between myringotomy/tympanotomy
River incision (Jansen 2006), removing this armoring layer of gravel, boulders, etc. exposes the channel bed to the erosive force of the water. “On the Russian River near Healdsburg, California, instream pit mining in the 1950s and 1960s caused channel incision in excess of 3-6 m over an 11-km length of river” (Kondolf et. al. 2002). Tectonics play an important role in shaping landscapes and rivers, and tectonic uplift and river incision go hand in hand. Over geologic time, as mountains rise higher, water erodes deep gorges and channels, dissecting the landscape. In some instances, such as the Sierra Nevada mountains of