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
Maylard Incision cut edges of rectus muscles and from deep epigastric vessels. In some patients, the incision may not offer sufficient exposure of upper abdomen. Maylard incision is likely to cause more pain than Pfannenstiel incision during the first post-operative week. However, Maylard incision has reduced rate of incisional hernia and more cosmetic appeal. Maylard Incision Maylard Incision is a surgical incision in which a transverse cut is made on rectus abdominis muscle to allow wider access to the pelvic cavity. It is also called Mackenrodt incision. For gynaecological surgery, the skin incision is made 5-8 cm above the pubic symphysis. The