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 Devil Is a Part-Timer! The Devil Is a Part-Timer! The Demon Lord Satan seeks to conquer the world of Ente Isla by annexing its four continents with the help of his demon generals Alciel, Lucifer, Malacoda, and Adramelech. After being confronted by the hero Emilia and her companions, after they had killed Malacoda and Adramelech, Satan Jacob and Alciel escape the world of Ente Isla through a gate to modern Tokyo, Japan. However, due to the lack of magic in the modern contemporary world, both Satan and Alciel change into forms representing what they would look like if they were human. In order to