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
Dynamism of a Human Body: Boxer in any type of motion or fixed presence, but rather in such a way that it would "decompose according to the tendencies of its forces". Despite the abstractness of the painting, the viewer can make out movement by view of the contours and bundles of muscles. In general, the series of Boccioni's dynamisms attempt to document progressive movement through its various elements. The work was part of a forty-six drawing series. These drawings were displayed in the spring of 1914 at Florence. Dynamism of a Human Body: Boxer Dynamism of a Human Body: Boxer is a dynamism drawing created by