<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q: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 patients symptoms?? A: Topical ciprofloxacin, B: Radiation therapy, C: Systemic corticosteroids, D: Fitting for hearing aids, E: Surgical excision,  <response>: This is a clinical case about a patient with decreased hearing, dizziness, tinnitus, and ear discharge in his right ear. He has a history of recurrent ear infections. On exam, he has a white mass behind the right eardrum and tuning fork exam shows conductive hearing loss on the right. The key findings are the white mass behind the eardrum, tuning fork exam showing conductive hearing loss, and history of chronic ear infections. This indicates the patient likely has cholesteatoma, which is an abnormal skin growth in the middle ear that can erode bones and other structures. It requires surgical removal.Topical antibiotics, radiation, steroids, and hearing aids would not treat the underlying cholesteatoma. Surgical excision is needed.E: Surgical excision 