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
Theology of the Body part of longstanding Church tradition — a tradition that was created in the context of scriptural teachings. The ability of the human body to express "truth" through the sexual union of married couples is acclaimed. The moral wrongness of using artificial means to manipulate such a significant aspect of the created body is explained. Dominion over outside forces, and also self-mastery through discipline, are integral human drives. However, the language expressed by bodies, in this context the language expressed during sexual intercourse, is so damaged by the use of artificial contraception that the conjugal act ""ceases to be an act