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
The Description of the Human Body The Description of the Human Body The Description of the Human Body () is an unfinished treatise written in 1647 by René Descartes (1596-1650). Descartes felt knowing oneself was particularly useful. This for him included medical knowledge. He hoped to cure and prevent disease, even to slow down aging. René Descartes believed the soul caused conscious thought. The body caused automatic functions like the beating of the heart and digestion he felt. The body was necessary for voluntary movement as well as the will. However, he believed the power to move the body was wrongly imagined to come from the