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
Joel-Cohen incision Joel-Cohen incision Joel-Cohen incision is a skin incision used for Caesarian section. It is a straight incision that is 3 cm below the line joining both anterior superior iliac spines. It is more superior to the Pfannenstiel incision, another commonly used incision in obstetric surgery. Joel-Cohen incision rely on blunt dissection more than the traditionally done Pfannenstiel incision. Joel-Cohen incision has lower rates of fever, hospital stay, post-operative pain and blood loss compared to Pfannenstiel incision. The operating time and use of analgesia are also less. Additionally, the time needed to get out of bed, walk without support and time