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 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