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Preoperative Diagnosis: Bilateral profound sensorineural hearing loss. Postoperative Diagnosis: Bilateral profound sensorineural hearing loss. Indications: This is a 69-year-old woman who has had progressive hearing loss over the last 10-15 years. Hearing aids are not useful for her. She is a candidate for cochlear implant by FDA standards. Procedure: The patient was prepped and draped in a sterile fashion after placing facial nerve monitoring probes, which were tested and found to work well. At this time, the previously outlined incision line was incised, and flaps were elevated. A sub temporal pocket was designed in the usual fashion for placement of the device. A standard cortical mastoidectomy was then performed and the fascial recess was opened exposing the area of the round window niche and the device was then placed into the pocket. A 1 mm cochleostomy was made, and the device was inserted into the cochleostomy with an advance off stylet technique. A small piece of temporalis muscle was packed around the cochleostomy, and the wound was closed in layers. What option describes the procedure performed in the documentation? a. Removal of impacted cerumen to improve hearing loss b. Replacement of hearing aid c. Correcting the defect in cochlear receptors.
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