Objectives: To assess the effect of Nasil drop (sesame based black seeds) versus placebo on treatment of chronic rhinosinusitis.
Design: a triple blind randomized clinical trial.
Setting and conduct: The eligible patients with chronic rhinosinusitis who will refer to Besat Hospital during the study period will be enrolled into the trial.
Inclusion criteria: Age of 18 to 64 years; chronic rhinosinusitis.
Exclusion criteria: Pregnancy; fever; immunosuppression; nasal polyp; sensitivity to black seeds or sesame.
Intervention group: Nasil drop (sesame based black seeds) one drop in the right nostril at the first night, one drop in the left nostril at the second night, two drops in the right nostril at the third night, two drops in the left nostril at the fourth night; three drops in the right nostril at the fifth night and three drops in the left nostril at the sixth night; then, the drop will be quit for one week and again drop will be started the same way once more.
Control group: Placebo drop (including distilled water) one drop in the right nostril at the first night, one drop in the left nostril at the second night, two drops in the right nostril at the third night, two drops in the left nostril at the fourth night; three drops in the right nostril at the fifth night and three drops in the left nostril at the sixth night; then, the drop will be quit for one week and again drop will be started the same way once more.
Primary outcome: (a) status of rhinosinusitis based on Vas score before intervention, immediately after intervention and 3 weeks later; (b) status of rhinosinusitis based on Snot-22 score before intervention, immediately after intervention and 3 weeks later; (c) status of rhinosinusitis based on endoscopic before intervention, immediately after intervention and 3 weeks later.
Randomization: The patients will be randomly assigned to intervention and control groups using block randomization.
Blinding: Patients will be unaware of the type of intervention. The physician who will examine the patients will not be aware of the intervention. The analyzer will be unaware of the type of interventions. Therefore, the trial will be run as triple blind.