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 aphasics have been put forward since then, including intellectual degradation, and the inability to carry out pretended actions. Denny-Brown takes a more holistic approach and suggested ideational apraxia results from diffuse brain damage. Body part as object is a relatively new concept in scientific literature. Past studies have suggested that BPO pantomimes may allow aphasics to avoid an impaired cognitive function. By not having to reproduce a movement outside of the usual context, they can have a more vivid experience of acting on an object. What is known as BPO pantomiming in children was first discussed in Goodglass and Kaplan’s