hearing loss treatment vestibular vértigo auditory brain stem response acoustic reflex pure tone audiometry oae bra abr tympanmetry audiometry bppv medical surgery tonsils osa hypopharynx oropharynx nasopharynx adenoidectomy tonsillectomy tonsillitis pharyngitis pharynx larynx cochlea stapes incus canal wall up canal wall down tegmen antrum ossicles mastoid facial recess facial nerve tympanic mastoidectomy temporal physiology ear snhl chl hearing aproach
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