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Classic Procedure: The approach is the same as described earlier for open mitral valvotomy. The excision starts with an anterior incision on the anterior leaflet at 12o'clock position, 2mm distal to the annulus. The incision is extended. The anterior leaflet with the chordae and the tip of the papillary muscle are removed. If the posterior leaflet is calcified, it is also excised along with chordae and tips of papillary muscles. Over zealous excision and suturing may cause venticular rupture or damage to circumflex coronary arteiy. Valve size is assessed according to the type of valve selected by the surgeon. The valve can be sutured by a continuous suture technique or interrupted pledgetted mattress sutures using 2 '0' braided polyester sutures. The pledgets are usually placed on the atrial aspect or rarely on the ventricular aspect.
Habits: Any abnormal habits needs to be identified. Following habits may have detrimental effect on the implant: 1. Parafunction - Bruxism/ Clenching 2. Tongue Thrusting
What is the mode of nutrition in fish,human,amoeba,scorpian & toad
Functional Problems of implant failures The masticatory efficiency of the implant supported prosthesis depends on the anchorage related factors and the prosthesis related fact
Q. Etiologic factor of ulcerative colitis? No single etiologic factor has been identified although genetic auto-immune factors are thought to be involved. Although exacerbation
Question 1 Identify the specimen, class to which it belongs and write the salient features of that class. Question 2 Write
SKIN - Largest organ of body. It is covered by hairs or pelage i.e. pillifera. Study of skin is dermatology. Outermost covering of body. Skin is elastic and
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Occurrence of Jaundice Excessive production of bilirubin - this occurs in some diseases due to destruction of large number of red blood cells in the liver. Obstruction to
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Define Nitrogen Estimation - Kjeldahl's Method? Nitrogen in the protein is estimated by a method referred to as Kjeldahl's method. Although over a period of time many other met
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