system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 33-year-old man comes to the physician because of decreased hearing in his right ear for the past 4 months. During this period, he has also had multiple episodes of dizziness and a constant ringing noise in his right ear. Over the past 5 weeks, he has also noticed scant amounts of right-sided ear discharge. He has a history of multiple ear infections since childhood that were treated with antibiotics. Vital signs are within normal limits. Otoscopic examination shows a white pearly mass behind the right tympanic membrane. Placing a 512 Hz tuning fork in the center of the forehead shows lateralization to the right ear. Which of the following is the most appropriate therapy for this patient's symptoms?
assistant
Surgical excision