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 E04 Surgical Procedures, Operative D013514 +
  E04.035 Anastomosis, Surgical D000714 +
   E04.035.335 Endolymphatic Shunt D004713 
 E04 Surgical Procedures, Operative D013514 +
  E04.580 Otorhinolaryngologic Surgical Procedures D013517 +
   E04.580.450 Otologic Surgical Procedures D013506 +
    E04.580.450.230 Endolymphatic Shunt D004713