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
Astral body the sephirah Hod in the kabbalistic Tree of Life. However the common person only has a kamarupa, body of desire or "lunar astral body," a body related to animal emotions, passions and desires, while the true human emotional vehicle is the solar astral body, which can be crystallised through Tantric sex. The solar astral body is the first mediator between the Cosmic Christ, Chokmah, and the individual human soul. "What is called the ‘body-Kesdjan,’ or, as they themselves later began to name this being-part of theirs—of which, by the way, contemporary beings know only by hearsay—the ‘Astral-body.’" "At first on