About this trial
This double-blind, randomized controlled trial (BEE-SONIC) aims to evaluate the efficacy of bee venom phonophoresis in the treatment of chronic sinusitis. Thirty adult patients (aged 18-65 years) with clinically diagnosed chronic or acute sinusitis will be randomized into two groups: the intervention group will receive bee venom phonophoresis using low-to-moderate intensity ultrasound, while the control group will receive standard care consisting of oral decongestants and saline nasal irrigation. Primary outcomes include improvement in symptom severity (SNOT-22, Visual Analog Scale) and quality of life (SF-33). Secondary outcomes include reduction in facial pain, nasal congestion, and patient satisfaction. Data will be collected at baseline, midpoint, and post-intervention, and analyzed using paired t-tests and ANOVA. The study has received ethics approval from Sinai University's Human Research Ethics Committee, and informed consent will be obtained from all participants.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adults aged 18 to 65 years.
Clinical diagnosis of chronic sinusitis (symptoms ≥ 12 weeks) or acute sinusitis confirmed by an otolaryngologist.
Willing and able to provide written informed consent.
Disqualifiers
Known allergy or hypersensitivity to bee venom or bee products.
Skin conditions (e.g., eczema, dermatitis, open wounds) over the area of ultrasound application.
Severe comorbid medical conditions (e.g., uncontrolled asthma, autoimmune disease, malignancy).
Pregnancy or breastfeeding.
Trial design
Parallel
Treatments tested in this trial
Bee Venom Phonophoresis
DeviceUltrasound therapy device
Standard Care (oral decongestants + saline nasal irrigation)
Drug(oral decongestants + saline nasal irrigation)
Bee Venom Phonophoresis
Biological/Vaccinebee venom extract prepared for topical use)
Treatment groups
Trial outcomes
Primary outcomes
Change in Sinusitis Symptom Severity
Measured using the Sino-Nasal Outcome Test (SNOT-22) questionnaire, which assesses nasal, facial, and functional symptoms on a 0-5 Likert scale (total score range: 0-110; higher scores indicate worse symptoms).
Change in Pain Intensity
Measured using a Visual Analog Scale (VAS) for facial pain, ranging from 0 (no pain) to 10 (worst imaginable pain).
Secondary outcomes
Change in Quality of Life
Measured using the SF-36 questionnaire, which assesses physical, emotional, and social health domains.
Sponsors and contacts
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