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 than IO pantomimes (despite the prevailing conception that they are simpler), and that BPO involves the right hemisphere as well as the left hemisphere. These results could be extended as an explanation of why apraxic brain damage - usually found in left-hemisphere - leads to BPO production. This may be an indication that apraxic’s utilize their right-hemisphere in lieu of their left-hemisphere damage, and therefore produce more BPO pantomimes. Concepts leading to the exploration and discovery of body part as object pantomimes first began in the late 19th century. Problems in the ability to comprehend or communicate with symbols, asymbolia,