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
Effect of spaceflight on the human body of motion sickness for the first three days of travel due to the conflict between what the body expects and what the body actually perceives. Over time however the brain adapts and although these illusions can still occur, most astronauts begin to see "down" as where the feet are. People returning to Earth after extended weightless periods have to readjust to the force of gravity and may have problems standing up, focusing their gaze, walking and turning. This is just an initial problem, as they recover these abilities quickly. NASA jokingly measures SAS using the "Garn scale", named for United