Myringotomy and tympanostomy, in parallel with the general distinction between an -otomy (cutting) and an -ostomy (creating a stoma with some degree of permanence or semipermanence). In this distinction, only a tympanostomy involves tympanostomy tubes and creates a semipermanent stoma. This distinction in usage is not always made. The word "tympanocentesis" specifies that centesis (aspiration for sampling) is being done. Etymologically, "myringotomy" ("myringo-", from Latin "myringa" "eardrum", + "-tomy") and "tympanotomy" ("tympano-" + "-tomy") both mean "eardrum cutting", and "tympanostomy" ("tympano-" + "-stomy" means "making an eardrum stoma". In 1649, Jean Riolan the Younger accidentally pierced a patient's ear drum while
River incision River incision River incision is the narrow erosion caused by a river or stream that is far from its base level. River incision is common after tectonic uplift of the landscape. Incision by multiple rivers result in a dissected landscape, for example a dissected plateau. River Incision is the natural process by which a river cuts downward into its bed, deepening the active channel. Though it is a natural process, it can be accelerated rapidly by human factors including land use changes such as timber harvest, mining, agriculture, and road and dam construction. The rate of incision is a function