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
History of beliefs about the human body much on discourse about bodies, rather than on material bodies themselves. Drawing on Mikhail Bakhtin's 1965 "Rabelais and His World", they promoted a more materially orientated direction in the history of the body. The Ebers Papyrus is an Egyptian medical text and is the oldest known record of the human body, dating back to 3000 BC. The Ebers Papyrus describes the body by physical examination and what can be felt. Clinical investigations such as the Pulse, percussion of the body, the recognition of diseased or disordered states. “If thou examinst a swelling of the covering of his belly’s horns above