Questions for Pediatric Otolaryngologists:
1. What is your gender?
a. Male
b. Female
2. How many years since you completed training
a. <5years
b. 5-10 years
c. 10-15 years
d. 15-20 years
e. >20 years
3. What type of practice are you in?
a. Academic
b. Private
c. Private with academic affiliation
4. In what region of the country do you practice?
a. Southeast
b. Northeast
c. Midwest
d. Southwest
e. Northwest
f. Mountain
g. Canada
5. Do you care for patients with cystic fibrosis?
a. Yes
b. No
6. How many patients with cystic fibrosis do you care for?
a. 0
b. <10
c. 10-25
d. 25-50
e. >50
7. Is you practice:
a. Primarily Pediatric (Age <18)
b. Primarily Adult (Age >18)
8. How would you rate the following statement: I have a cooperative, open door relationship with
my pulmonary colleagues? (1= strongly disagree 2=disagree 3=neutral 4=Strongly Agree 5=
Strongly Agree)
9. Do you perform sinus surgery as part of your practice?
a. Yes
b. No
10. What is the youngest age you will perform elective functional endoscopic sinus surgery in
patients with CF?
a. 0-2 years
b. 2-4 years
c. 5-10 years
d. >10 years only
11. Which of the following should be included as part of maximal medical management of CF sinus
disease? (1= strongly disagree 2=disagree 3=neutral 4=Strongly Agree 5= Strongly Agree)
a. Oral Antibiotics
b. IV antibiotics
c. Nasal Saline Irrigations
d. Nasal Steroid
e. Oral Steroid
f. Nebulized/Topical antibiotics
12. When do you obtain CT sinus imaging of CF patients?
a. Before/After the first encounter
b. After treating with what I consider Maximal Medical management
c. Only prior to surgical intervention
d. I do not routinely obtain imaging on these patients
13. How would you rate the following as indicators for operative management of sinus disease?
(1=not an indication 2= minor indicator 3=major indicator)
a. Quality of life unimproved by medical management
b. Sinus symptoms unimproved by medical management
c. Increase in pulmonary exacerbations
d. CT findings of sinusitis
e. Request for surgery by another physician member of the patients team
14. How strongly do you believe the statement: Sinuses serve as a reservoir for bacteria and
subsequent pulmonary colonization/reinfection? (1= strongly disagree 2=disagree 3=neutral
4=Strongly Agree 5= Strongly Agree)
15. How strongly do you believe the statement: Aggressive management of sinus disease in
patients with CF can positively impact pulmonary function? (1= strongly disagree 2=disagree
3=neutral 4=Strongly Agree 5= Strongly Agree)
16. How strongly do you believe the statement: Aggressive management of sinus disease in patients
with CF can positively impact quality of life? (1= strongly disagree 2=disagree 3=neutral
4=Strongly Agree 5= Strongly Agree)
17. How strongly do you believe the statement: Aggressive management of sinus disease can
positively impact sinus symptoms? (1= strongly disagree 2=disagree 3=neutral 4=Strongly Agree
5= Strongly Agree)