Background Myringotomy was performed in eighteenth and nineteenth centuries to treat otitis media During the preantibiotic era, the primary concern was the potential for intracranial complications of acute otitis media In 1954, Armstrong ' s reintroduction of the tympanostomy tube, after that, few true advances in the treatment of otitis media was developedBackground ◼ Myringotomy was performed in eighteenth and nineteenth centuries to treat otitis media. ◼ During the preantibiotic era, the primary concern was the potential for intracranial complications of acute otitis media ◼ In 1954, Armstrong’s reintroduction of the tympanostomy tube, after that, few true advances in the treatment of otitis media was developed