Evidence map›Paper›PMID 42416540›Full record

ArticleLaryngoscope investigative otolaryngology2026

Preoperative Pollen Exposure and Chronic Rhinosinusitis Outcomes After Endoscopic Sinus Surgery: A Pilot Investigation.

Benton Tullis, Jess C Mace, Conner Massey, Stuart Batterman, Vijay R Ramakrishnan, Daniel M Beswick, Zachary M Soler, Timothy L Smith, Jeremiah A Alt, Amarbir S Gill

Abstract read
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In one paragraph

Article in Laryngoscope investigative otolaryngology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Benton TullisDepartment of Otolaryngology - Head and Neck Surgery University of Utah Salt Lake City Utah USA.
Jess C MaceDivision of Rhinology and Sinus Surgery/Oregon Sinus Center, Department of Otolaryngology - Head and Neck Surgery Oregon Health & Science University (OHSU) Portland Oregon USA.
Conner MasseyDepartment of Otolaryngology - Head and Neck Surgery University of Colorado School of Medicine Aurora Colorado USA.
Stuart BattermanDepartment of Environmental Health Sciences, School of Public Health University of Michigan Ann Arbor Michigan USA.
Vijay R RamakrishnanDepartment of Otolaryngology - Head and Neck Surgery Indiana University School of Medicine Indianapolis Indiana USA.
Daniel M BeswickDepartment of Otolaryngology - Head and Neck Surgery University of California Los Angeles California USA.ORCID https://orcid.org/0000-0003-1898-0417
Zachary M SolerDepartment of Otolaryngology -Head and Neck Surgery Medical University of South Carolina Charleston South Carolina USA.ORCID https://orcid.org/0000-0002-4304-595X
Timothy L SmithDivision of Rhinology and Sinus Surgery/Oregon Sinus Center, Department of Otolaryngology - Head and Neck Surgery Oregon Health & Science University (OHSU) Portland Oregon USA.ORCID https://orcid.org/0000-0002-6424-7083
Jeremiah A AltDepartment of Otolaryngology - Head and Neck Surgery University of Utah Salt Lake City Utah USA.ORCID https://orcid.org/0000-0003-0560-5028
Amarbir S GillDepartment of Otolaryngology - Head and Neck Surgery University of Michigan Ann Arbor Michigan USA.ORCID https://orcid.org/0000-0002-6776-0712

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Although particulate matter is an environmental factor that may increase the risk of developing chronic rhinosinusitis (CRS), the impact of pollen on CRS outcomes is understudied. Here, we analyzed the effects of preoperative pollen exposure on disease-specific and general quality-of-life (QOL) outcomes after endoscopic sinus surgery (ESS). Methods: Prospectively enrolled patients with medically refractory CRS, who self-selected ESS, completed the 22-item SinoNasal Outcome Test (SNOT-22) and Medical Outcomes Study Questionnaire Short-Form 6-D (SF-6D) surveys at enrollment and follow up. Preoperative pollen counts were obtained from the National Allergy Bureau using residence zip codes and total pollen was divided into tree, ragweed, and grass/weed subcategories. Spearman's correlation coefficients ( Results: Seventy-nine patients met inclusion criteria with a mean follow-up of 8 months. Higher average total pollen and tree pollen exposure 1 week before ESS were associated with less postoperative improvement in SNOT-22 scores at follow up ( Conclusion: In this pilot investigation, increased preoperative pollen exposure attenuated improvement in SNOT-22 scores after ESS.

Indexed as

chronic rhinosinusitisendoscopic sinus surgeryenvironmentmulti‐institutionparticulate matterpollenpreoperative exposurequality of lifeSNOT‐22surgical outcomes

Identifiers

PMID42416540
PMCPMC13339725

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.