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 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 
     E04.580.450.277 Fenestration, Labyrinth D005276 
     E04.580.450.472 Middle Ear Ventilation D008876 
     E04.580.450.505 Myringoplasty D009225 
     E04.580.450.731 Stapes Surgery D013201 +
     E04.580.450.873 Tympanoplasty D014433 
     E04.580.450.220 Cochlear Implantation D019929 
     E04.580.450.600 Ossicular Replacement D019933 
     E04.580.450.109 Auditory Brain Stem Implantation D038263