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 muscular and focuses on the exterior of the body, what can be see and felt. This was the standard of beauty of humans and continues to be the ideal body of European traditions. There is no Vitruvian women. Eastern ideologies of the body explain what can be detected, not only felt and examined. This comes from the idea that there is not only what can be physically seen and touched but what can't be. Energy or more aptly the means by which your body can manifest itself in the world can't be seen but, was thought to be able to