Objective : A prospective study was done at the period of 3rd July2009 - 4th Seb.2010 to see the effectiveness of radiofrequency in inferior turbinate reduction regarding nasal obstruction,morning sneezing , snoring, headache and nasal discharge.Method : Thirty-seven patients had been underwent radiofrequency turbinate reduction under local anesthesia and follow up them regarding their complaints. Results : We found that radiofrequency inferior turbinate reduction is very simple, effective, and relatively complication free as out patient procedure. Conclusion : Radiofrequency for inferior turbinate reduction can be held as outpatient procedure with minimal time & relatively simple cost and give the same results as other procedure that held to reduce the inferior turbinate bulk . So it is preferable over them when the equipments are available.

يعاني الكثير من مرضانا من تداعيات التضخم المزمن للمحارة السفلية الموجودة داخل التجويف الأنفي غير المتزامنة مع إعراض حساسية المجاري التنفسية العليا مما استدعى البحث عن أساليب عديدة لعلاجها وكانت إحدى هذه الطرق هو استخدام الترددات الراديوية لإزالة ذلك التضخم والتي اكتشفت وطورت أجهزتها خلال العقدين المنصرمين. حيث قمنا هنا بدراسة تأملية لتبيان فوائد ومساوئ استعمال هذه الطريقة في المعالجة. أجريت هذه الدراسة المنظورة للفترة من3 تموز2009 لغاية 4 أيلول 2010 على 37 مريض حيث تم اجراء اختزال المحاره السفليه بجهاز الترددات الراديوية تحت التخدير الموضعي وتمت متابعتهم حول مدى استجابتهم . لوحظ فعالية استخدام الترددات الراديويه وخلوه تقريبا من اي اعراض جانبيه اضافه الى سهوله استخدامه كبديل للعمليات التقليديه تحت التخدير العام.

radiofrequency --- inferior turbinate reduction

Background Mobile telephones, sometimes called cellular phones (GSM, Global System for Mobile Communication)or handies, are now an integral part of modern telecommunications. In some parts of the world, they are the mostreliable or only phones available. In others, mobile phones are very popular because they allow people to maintaincontinuous communication without hampering freedom of movement.This study was carried out to evaluate theeffects of 900 MHz mobile phone on palate and tooth germ development in mouse embryo for the period of (16thday, 18th day intrauterine life and one day postnatal life).Materials and Methods Thirty pregnant Bulb-c Albeno Swiss female mouse (2-3 months of age, 100-125 gm of weight),were used in the present experiment. Those mice were divided into three groups. The first group consisted of 6pregnant mice were assigned as a control group. The second group consisted of 12 pregnant mice were exposed tomobile phone radiation for 60 minutes daily and the third group consisted of 12 pregnant mice were exposed tomobile phone radiation for 120 minutes daily starting from the zero day of gestation till the day of scarification. Theembryos of mice; were obtained at different period of gestation (At 16th day I.U.L., 18th day I.U.L.,and One day oldpostnatal period).Results Histological examination and immunohistochemical evaluation for CD34 expression were done for all animalsincluding control group showed that mobile phone (EMF radiation) with 900 MHz in short exposed period (one hour)can stimulate tooth germ cells as it was shown,an early appearance of tooth germ in cap stage at 16th day I.U.L andpositive expression of CD34 marker on dental tissue.Conclusion In this study we investigated an important point that the effects of mobile phones concerned onmesenchymal germ cell rather than ectodermal germ cell which represented by positive reaction of CD34 onmesenchymal cell of dental sac ,bone and cartilage. Increment in time exposure to EMF radiation emitted frommobile phone for 2 hours duration showed retardation in tooth development with obvious reduction in size of themice.

Radiofrequency radiation --- tooth germ --- mobile phone

Trigeminal Neuralgia (TN) is a neuropathic, stabbing recurrent episode ofpain within the distribution of one or more branches of the trigeminalnerveaffecting the face.Trigeminal neuralgia is idiopathicin 50%of the patientsleading to focal demyelination andaberrantneuraldischarge.Treatment must be individualized to each patient. Carbamazepine remainsthe drug of choice and the first‐line treatment of TN but ineffective in 60%.Minimally invasive interventional pain therapies and surgery are possibleoptions when drug therapy fails. Patients with poor surgical risk may be moresuitable for other types of interventional therapy.A case of idiopathic trigeminal neuralgia in a 49 years old female, presentedwith a 20 years history of severe lancinating intermittent pain, not relived byoral medications. In our case we will discuss the role of radiofrequencytherapy in combination with alcohol ablation for this chronic pain and followup for 1 year duration.

Trigeminal Neuralgia --- Radiofrequency --- Alcohol ablation therapy

SAFETY AND EFFICACY OF THE BIPOLAR RADIOFREQUENCY ABLATION DEVICE FOR HEMOSTASIS IN THYROIDECTOMY IN COMPARISON WITH THE CONVENTIONAL KNOT-TYING TECHNIQUE Sadq Ghaleb Kadem*, Sarmad Manea Habash# & Mohammed Khalaf Raheem@ *#@MB,ChB, FICMS, Department of Surgery, Al-Shiffa General Hospital, Basrah, IRAQ Abstract The conventional method of hemostasis by using knot-tying technique is safe and effective in thyroid surgery but it is time consuming. A new energy devices like ultrasonic scalpel and advanced bipolar electrosurgical cautery have been proven to be safe and effective in shortening the length of thyroid surgery but the high cost of these advanced generators that designed to work only with an expensive disposable hand pieces, make its use difficult to justify in some hospitals. Radiofrequency ablation device is a refined type of electrosurgical cautery that utilizes a wave of electrons at a frequency between 2 and 4MHz to seal and divide the targeted tissue and the ablation property of this device act as an extra vessel sealing effect, it can be used with conventional reusable bipolar electrosurgical cautery hand pieces. The aim is to evaluate the safety and efficacy of a simple bipolar radiofrequency ablation device for hemostasis in thyroidectomy in comparison with the conventional knot-tying technique. This study was conducted in Alshiffa General Hospital following the approval of the local ethical committee. Fifty patients with different thyroid gland pathologies underwent total thyroidectomy in which hemostasis was achieved mainly with bipolar radiofrequency ablation device. The results of this group were compared with results of conventional knot-tying technique by the same surgical team at an earlier period. This study showed that bipolar radiofrequency ablation device significantly reduced; mean operative time, amount of foreign suture material, significant reduction in the mean volume of postoperative drainage, early patient discharge from hospital, and less complications. In conclusion, the use of the bipolar radiofrequency ablation device with conventional reusable bipolar cautery forceps for hemostasis in thyroidectomy is a safe, simple technique and effective in reducing the operative time in comparison with the conventional knot-tying technique.

BIPOLAR RADIOFREQUENCY ABLATION --- HEMOSTASIS --- THYROIDECTOMY --- CONVENTIONAL KNOT-TYING TECHNIQUE