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
Cherney incision peritoneum can be cut and the surgery can proceed. Complications can ensue. If surgical retractors are not placed carefully under the edges of the incision, they can damage the femoral nerve or other nerves in the area. If during wound closure, tendons are sewn directly to the pubic symphysis, osteitis pubis or osteomyelitis can result. Cherney incision The Cherney incision is an incision used in gynecologic surgery. It is similar to the Pfannenstiel incision but allows access to the space of Retzius and gives a larger area in which to operate. The Cherney incision begins when the skin is cut