Preoperative Diagnosis Bilateral Assignment Help: How to Answer This Question

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Original Question

Preoperative Diagnosis: Bilateral chronic mastoiditis secondary to barotrauma Postoperative Diagnosis: Same Operation: Bilateral complete mastoidectomy, right middle ear exploration Anesthesia: General endotracheal Complications: None Blood Loss: 35 cc Indications: This 35-year-old man has had a greater than two month history of chronic, deep, lancinating ear pain, right side worse than left, after a scuba diving trip after rapid ascent to the surface. He had obvious bleeding in the middle ear and ear drum originally, was treated with conservative therapy including steroids, antibiotics, myringotomy, etc. He has failed to improve, he has chronic pulsatile tinnitus and severe pain requiring strong narcotic analgesia. The symptoms have been disabling, causing significant disruption to his lifestyle. He has normal hearing. He was admitted for surgical attempts at controlling the symptoms. Informed Consent: The risks and benefits of the procedure were explained to the patient. The patient elected to proceed with the procedure(s). Approach and Surgical Procedure: The patient was administered general anesthesia by an anesthesiologist without incident. The table was turned and both ears were prepped and draped in the usual fashion for post-auricular ear surgery. Inspection of both ears was unremarkable. The right ear was performed first since this was the more significant of the ear symptomatically. Xylocaine 1% containing epinephrine, 1:100,000 was injected in the post-auricular re

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