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
Incision (band) Incision (band) Incision is a Dutch hard rock band from Wogmeer, North Holland, that formed in February 2008. Incision started back in February 2008, when four small town boys with each a vision of what their sound should be like, straight up classic hard rock. Some changes to the line-up the band rolled into 2009. They kicked off with playing their first gig in a local bar where the boys first performed live and felled the pressure of it all, With still just a few months as a complete band they had performances all over the province Noord Holland (Netherlands).