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 that even in European cultures that attempt to adhere purely to what can be seen and touched, recognize that there is a more cosmic necessity to the body and connection to the physical and cosmological worlds. History of beliefs about the human body The human body has been subject of much debate. How people are defined, and what defined them – be it their anatomy or their energy or both – depends on culture and time. Culture not only defines how sex is perceived but also how gender is defined. Today gender, sex, and identity continue to be of much