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Medical Terminology - Comissurotomy

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Medical Terminology - Comissurotomy
Commissurotomy

Commissurotomy is a surgical procedure that can pertain to either the treatment of the cardiovascular system, treating psychiatric disorders, or treating forms of epilepsy. Scleroderma is a disease that thickens and hardens the skin, which can also be treated by a commissurotomy in certain circumstances. For example, commissures can be expanded in the corners of the patient’s mouth to enable dental treatment in the oral cavity. A commissurotomy can also resolve a encephalic embolism, and embolisms in general. Embolisms often develop in narrow valves.

A seizure can cause a discharge of neurons through the corpus callosum and effect both encephalic hemispheres; a commissurotomy can prevent and reduce the probability of the neuronal discharge spreading to multiple hemispheres, decreasing the severity of seizures experienced by an epileptic.

Valvulotomy is a type of commissurotomy that pertains to the cardiac valves. It is performed to resolve anomalies such as valvular stenosis and mitral valve stenosis, which decrease or block blood flow. Incisions are cut in the commissures formed between multiple valves to relieve coarctation and increase blood flow.

Mitral commissurotomy is a type of commissurotomy that treats mitral stenosis to prevent pulmonary hypertension and heart failure. Elevated pulmonary pressures, which result from pulmonary hypertension, can also cause respiratory failure and arrhythmias, respectively. In mitral stenosis, the leaflets of the mitral are partially merged. A commissurotomy physically separates the leaflets at their points of contact (commissures) and expands them back to normal size to resolve the malfunction in blood flow, and other abnormalities that result from the restriction of blood flow.

Mitral stenosis is generally not a terminal condition, however, left sided (and eventually right sided) heart failure may develop as a result of mitral stenosis. Treatment of forms of epilepsy, treating

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