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Öğe Local allergic rhinitis - a narrative review(Verduci Publisher, 2024) Manole, F.; Muluk, N. Bayar; Oguz, O.; Ulusoy, S.; Scadding, G. K.; Prokopakis, E.; Kalogjera, L.This narrative review aims to provide an up-to-date definition of local allergic rhinitis (LAR), its classification, mechanisms, comorbidities, recommendations for diagnosis and treatment, and define needs in this area. Both 'PubMed' and 'Science Direct' literature was reviewed systematically, and a manual search for studies not previously encountered in the databases was also carried out. Published studies were identified in PubMed covering the period from 1947 to 2022. The following keyword search strategy was used: (local allergic rhinitis* OR entopy* OR local Immunoglobulin E * OR nasal specific Immunoglobulin E). LAR involves Type 2 nasal inflammation with local IgE and cannot be diagnosed by systemic methods, such as skin prick or blood IgE tests. A nasal allergen challenge is necessary for diagnosis. LAR can respond to usual AR treatments, including allergen specific immunotherapy (AIT). LAR is a novel entity that requires additional investigation in terms of prevalence, proper diagnosis, treatment, and prognosis. The target outcomes and possible benefits of this review are to achieve a consensus for the study and diagnosis of LAR and increase interest in this area.Öğe Single, pauci, and multi-allergen immunotherapy(Royal Belgian Soc Ear, Nose, Throat, Head & Neck Surgery, 2018) Cingi, C.; Wise, S. K.; Lin, S. Y.; Muluk, N. Bayar; Franzeses, C. B.; Rudenko, M.; Scadding, G. K.Single, pauci, and multi-allergen immunotherapy. Objectives: This paper's aim is to review single, pauci, and multi-allergen immunotherapy. Methods: Search is made through PubMed, Google, Google Scholar and Proquest Central database of the Kirikkale University Library. Results: Allergen immunotherapy (AIT) modifies the immune response to a specific allergen. AIT has been used to treat allergic rhinitis, allergic conjunctivitis, allergic asthma and also insect venom allergy. Immunotherapy can be administered subcutaneously (SCIT) or sublingually (SLIT). Patients may be mono-, pauci-, or polysensitized to allergens. Polysensitization is more common and usually increases with age. AIT is maximally effective when one or two allergens are used. There is a similar effect in both mono and polysensitized patients. However, in polysensitized patients, immunotherapy with multiple allergens is less effective compared with desensitization treatment in monosensitized patients using one allergen. This may relate to dose, or to the fact that polysensitization might merely reflect cross-reactivity to one or two major causative allergens. Conclusion: We suggest that in polyallergy, where symptoms of rhinitis or asthma, are related to the exposure of multiple allergens; would be a better subject for multiple allergen desensitizations than polysensitization. This need is to explore in well-designed experiments.Öğe The intranasal trigeminal system: roles in rhinitis (allergic and non-allergic)(Verduci Publisher, 2022) Ulusoy, S.; Muluk, N. Bayar; Scadding, G. K.; Passali, G. S.; Dilber, M.; Gevaert, P.; Passali, D.The aim of this paper is to review intranasal trigeminal system and associated reflexes. The literature survey was performed on PubMed, ProQuest Central database of Kirikkale University and Google Scholar. The intranasal trigeminal system and associated reflexes play an important role in humans in both health and disease, including in rhinitis of non-allergic and mixed type. The intranasal trigeminal nerve provides sensory perception to the lining of the nose, supplying information on how patent the nasal airway is and responding to various chemical signals. The reflexes known to exist within the intranasal trigeminal system are nasobronchial reflex, trigemino-cardiac reflex, nasogastric reflex, and nasal cycle. The intranasal trigeminal system and its reflexes play a vital role in normal human physiology. Alterations in how this system operates may underlie multiple forms of rhinitis and more research is needed to fully understand the mechanisms involved.