Dr. Rande Lazar is an Otolaryngologist in Memphis, Tennessee, with a primary focus in pediatric ear, nose and throat disorders. Rande Lazar, MD, has special expertise in adult and pediatric sleep and snoring disorders and surgery, as well as adult and pediatric sinus disorders. Dr. Rande Lazar is experienced in a wide range of disorders of the ear, nose, throat, sinus, respiratory system and the other head and neck systems, as well as children’s disorders of the larynx (voicebox), and hearing problems.

You can learn more about Rande Lazar, M.D. at Otolaryngology Consultants of Memphis.

Cavernous Sinus Thrombosis

Fewer than 50% of patients recover fully after being treated with antibiotics for septic thrombosis. In fact, thrombosis as a complication of infections of the paranasal sinuses is fatal in nearly 30% of patients. To avert such catastrophic results, Dr. Rande Lazar, a Memphis sinus surgeon, has studied the effectiveness of functional endonasal sinus surgery, used in tandem with traditional antibiotic techniques.

You can read the full whitepaper on this topic here.

Dr. Rande Lazar is a Memphis Otolaryngologist who primarily focuses in pediatric ear, nose and throat disorders, including ear infections, throat infections, tonsil infections, sinus infections and sleep disorders. Dr. Rande Lazar has special skill in dealing with adult and pediatric sleep and snoring disorders and surgery, as well as adult and pediatric sinus disorders. Dr. Rande Lazar is experienced in a wide range of disorders of the ear, nose, throat, sinus, respiratory system and the other head and neck systems, as well as children’s disorders of the larynx (voicebox), and hearing problems.

Contact Otolaryngology Consultants if you have any questions.

The Medical and Surgical Management of Sinusitis in Children

As the number one chronic illness among all age groups in the US, sinusitis is a common experience among the pediatric age group. The factors leading to sinusitis are varied, and so diagnosis may be based on clinical manifestations or may need more intensive studies with x-rays or CT scans.

Whereas the majority of cases respond to conventional medical treatment, some do not. It is only then that surgical intervention is an option. Functional Endonasal Sinus Surgery is proving to be an effective treatment for chronic and recurrent cases of sinusitis.

Read the full PDF of this article at DrRandeLazar.com.

Rande Lazar, MD is a Memphis based Otolaryngologist and founder of Otolaryngology Consultants, an ear, nose, and throat practice located in Memphis, TN.  Dr. Lazar is an ear, nose, and throat specialist, with a primary focus in pediatrics.  He has a vast amount of experience treating sinus infections, respiratory infections, tonsil infections, ear infections, throat infections,  sleep disorders, and many other areas of otolaryngology.  Dr. Rande Lazar routinely performs surgery for both adult and pediatric sleep and sinus disorders.  Alongside his years of expertise in respiratory disorders, sleep disorders, and sinus disorders, Dr. Lazar also treats a wide range of head and neck problems, including pediatric larynx (voice box) and hearing problems.

You can find more about Rande Lazar, M.D., at Otolaryngology Consultants of Memphis.

Otitis Media in Children

Otitis Media is an inflammatory disease that happens in the middle ear, affecting about 85% of all children at least once in their lives. Its commonality incurs an annual cost of approximately $3.5 billion.

Memphis pediatric specialist, Dr. Rande Lazar, has a wealth of experience with Otitis Media and other infections of the ear, nose, and throat in children. This post on the Memphis Ear Nose and Throat blog is just one example.

You can read the full article here.

Dr. Rande Lazar is a Memphis Otolaryngologist with a primary focus in pediatric ear, nose and throat disorders, including ear, throat, tonsil and siuus infections, as well as sleep disorders. Dr. Rande Lazar not only works with children, but also has special expertise in adult and pediatric sleep and snoring disorders and surgery, as well as adult and pediatric sinus disorders. Dr. Rande Lazar is experienced in a wide range of disorders of the ear, nose, throat, sinus, respiratory system and the other head and neck systems, as well as children’s disorders of the larynx (voicebox), and hearing problems.

Dr. Rande Lazar is the founder of Memphis’ premier ear, nose, and throat practice, Otolaryngology Consultants.

Article Abstract:

Sinusitis is increasingly being diagnosed by pediatricians, otolaryngologist and allergists. It has become the most common ailment in the United States, surpassing arthritis and hypertension, according to the National Center for Disease Statistics. Approximately 12% of the entire population suffers from sinusitis at some time, with millions of days forfeited from work or school.

Read the full article as a PDF here: The Current Management of Sinusitis in Children

Memphis Otolaryngologist Dr. Rande Lazar primarily focuses in pediatric ear, nose and throat disorders, including ear infections, throat infections, tonsil infections, sinus infections and sleep disorders. Dr. Lazar has special expertise in adult and pediatric sleep and snoring disorders and surgery, as well as adult and pediatric sinus disorders. Hi experience crosses a wide range of disorders of the ear, nose, throat, sinus and respiratory systems, as well as other head and neck systems. He also focuses in children’s disorders of the larynx (voicebox), and hearing problems.

Dr. Rande Lazar is the founder of the Memphis-based pediatric ear, nose and throat practice, Otolaryngology Consultants.

Article Abstract:

Subperiosteal abscess is a serious orbital complication of sinusitis that occurs predominantly in children. Infection may spread to the orbital site through a preexisting defect in the lamina papyracea or by means of a thrombophlebitic process. Although the traditional approach to treating a subperiosteal abscess has been drainage through an external incision, we treated this serious complication with functional endonasal sinus surgery. Ten pediatric patients with clinical and CT evidence of orbital subperiosteal abscess underwent endoscopic surgery at LeBonheur Children’s Hospital in Memphis, Tenn., between 3 and 12 years of age at the time of surgery. Despite 2 to 4 days of intravenous antibiotic therapy, their signs and symptoms progressed, and axial and coronal CT scans demonstrated orbital subperiosteal abscess. Seven patients had bilateral ethmoid and maxillary sinusitis, and the remaining three patients had unilateral ethmoiditis. Opthalmologic assessments were performed for all patients immediately after hospital admission. The patients were started on regimens of high-dose intravenous cefuroxime sodium to subdue infections and pediatric decongestant nasal spray to facilitate drainage. All 10 patients with the confirmed diagnosis of subperiosteal abscess were treated with endoscopic surgery to drain the site of infection. All 10 patients improved significantly 12 to 24 hours after surgery and were discharged from the hospital to their homes 48 to 72 hours after surgery. Patients were continued on a regimen of broad-spectrum oral antibiotics and beclomethasone nasal spray for 2 weeks beyond the final examination. Follow-up endoscopic examinations were performed under general anesthesia in the operating room 2 to 3 weeks after surgery. No complications or adverse sequelae occurred. Our study appears to confirm that endoscopic drainage of subperiosteal abscess offers the patient an alternative to incisional surgery. The endoscopic approach prevents an external scar without increasing morbidity or length of hospitalization.

Read the full article as a PDF here: Endoscopic Drainage of Subperiosteal Abscess in Children: A Pilot Study

Dr. Rande Lazar is a Memphis Otolaryngologist with a primary focus in pediatric ear, nose and throat disorders, including ear infections, throat infections, tonsil infections, sinus infections and sleep disorders. Dr. Rande Lazar has special expertise in adult and pediatric sleep and snoring disorders and surgery, as well as adult and pediatric sinus disorders. Dr. Rande Lazar is experienced in a wide range of disorders of the ear, nose, throat, sinus, respiratory system and the other head and neck systems, as well as children’s disorders of the larynx (voicebox), and hearing problems.

Management of the Anomalous Pediatric Airway

The pediatric airway is such a small passage that a change of just one millimeter can decrease a child’s airway by 40%. Dr. Rande Lazar, a pediatric specialist in Memphis, Tennessee, has researched anomalous pediatric airways for much of his career.

It has been established that the single most common cause of such changes is a condition known as Stridor. Dr. Lazar has determined that Stridor, caused by a turbulent airflow through the airway, is a symptom, not a diagnosis of what is wrong in the throat.

For more information on Stridor and anomalous airways, read this whitepaper, here: Memphis Ear, Nose, and Throat blog.

Dr. Rande Lazar is an Otolaryngologist located in Memphis, TN and also the founder of Otolaryngology Consultants, an ear, nose, and throat practice based out of Memphis. Though his primary focus is children, he treats adult patients for ear, nose, and throat disorders as well. Dr. Rande Lazar has a wide array of experience in many areas of otolaryngology, including treatment for sinus infections, respiratory infections, tonsil infections, ear infections, throat infections, and sleep disorders. He is also experienced in pediatric hearing and larynx (voice box) problems, as well as many other problems affecting the head and neck. Dr. Lazar is also an experienced surgeon for both pediatric and adult sleep and sinus disorders.

Article Abstract:

Toxic shock syndrome (TSS) is an uncommon, severe, multisystem illness that may follow any surgical procedure. It usually occurs in the immediate postoperative period and is manifested by the sudden onset of high fever and a variety of other signs and symptoms. The reported incidence of TSS after nasal surgery is 16 cases per 100,000 patients. We report five unusual cases of delayed TSS that occurred after functional endonasal sinus surgery in which no packing was used. Toxic shock syndrome developed in three children and two adults 5 days to 5 weeks postoperatively.  All patients were treated successfully with no sequelae. The pathophysiologic features, clinical manifestations, and treatment of TSS are described in detail.

Read the entire article as a PDF: Delayed Toxic Shock Syndrome After Functional Endonasal Sinus Surgery

If you have any questions about ear, nose and throat disorders, please contact Otolaryngology Consultants of Memphis.

Dr. Rande Lazar is a Memphis Otolaryngologist with a primary focus in pediatric ear, nose and throat disorders, including ear infections, throat infections, tonsil infections, sinus infections and sleep disorders. Dr. Rande Lazar has special expertise in adult and pediatric sleep and snoring disorders and surgery, as well as adult and pediatric sinus disorders. Dr. Rande Lazar is experienced in a wide range of disorders of the ear, nose, throat, sinus, respiratory system and the other head and neck systems, as well as children’s disorders of the larynx (voicebox), and hearing problems.

Learn more about Dr. Rande Lazar at Otolaryngology Consultants of Memphis.

Abstract:

A medial subperiosteal abscess (SPA) of the orbit is the most common serious complication of sinusitis in children. The distinction between SPA and the more benign pre-septal disease is difficult to make especially in a young child in whom an opthalmological evaluation is often difficult. Computerized tomography (CT) is the investigation of choice in making this distinction. Subperiosteal inflammatory disease of the orbit is initially treated with intravenous antibiotic therapy with surgery reserved for those patients who do not respond to medical treatment and in whom a medial SPA is confirmed by CT. Conventionally, the abscess is drained via an external incision and an ethmoidectomy is performed at the same time. More recently, successful drainage of SPA’s has been accomplished endoscopically via a intranasal approach with less morbidity and superior cosmesis. We present a 5 year experience of 24 patients with CT scans suggestive of medial SPA who underwent endoscopic exploration of the medial subperiosteal orbital space. We discuss the current management of medial subperiosteal disease of the orbit in children and include a review of the literature. Also included is a clinical staging system which aids the management of orbital complications of sinusitis.

View the full article in PDF format here:

Management of medial subperiosteal abscess of the orbit in children–a 5 year experience

Read more by and about Dr. Rande Lazar and Otolaryngology Consultants of Memphis.

Dr. Rande Lazar is a Memphis-based Otolaryngologist and founder of Otolaryngology Consultants, an ear, nose, and throat practice located in Memphis, TN. Dr. Lazar has a vast amount of experience treating sinus infections, respiratory infections, tonsil infections, ear infections, throat infections, sleep disorders, and many other areas of otolaryngology. Dr. Rande Lazar regularly performs surgery for both adult and pediatric sleep and sinus disorders. Alongside his years of expertise in respiratory disorders, sleep disorders, and sinus disorders, Dr. Lazar treats a wide range of head and neck problems, including pediatric larynx (voice box) and hearing problems.

Article Abstract:

The surgical closure of dry tympanic membrane perforations in children remains a controversial issue due to conflicting opinions on the appropriate technique, graft material and success rate. We present a review of 342 children who underwent fat graft myringoplasty as a day-stay procedure over a six-year period. Successful closure of the tympanic membrane perforation was achieved in 92 per cent of ears. Subsequent recurrent otitis media with effusion required insertion of ventilation tubes in 12 per cent. No relationship was observed between the age of the child and a successful outcome. We conclude that day-stay fat graft myringoplasty is a safe and successful procedure which results in a dry and safe ear in the majority of children.

Read the full article as a PDF here: Fat Graft Myringoplasty in Children: A Safe and Successful Day-Stay Procedure

Dr. Rande Lazar is the founder of the Memphis-based pediatric ear, nose and throat practice, Otolaryngology Consultants.

Dr. Rande Lazar is the founder of Otolaryngology Consultants, an ear, nose and throat practice located in Memphis, TN. He is an experienced Memphis-based Otolaryngologist and surgeon who specializes in pediatric ear infections, throat infections, tonsil infections, sinus infections and sleep disorders. Dr. Lazar also treats children’s larynx (voice box) and hearing disorders. Along with these, Dr. Rande Lazar also has many years of experience in pediatric and adult sleep and snoring disorders, respiratory disorders, and a vast range of other head and neck problems.

Article Abstract:

Sinusitis is commonly seen in pediatrics. It is a dynamic, multifactorial process whose symptoms are variable. Upper respiratory tract infections and allergy are the major predisposing causes of sinusitis. Most patients respond to medical treatment. Surgery is generally indicated when optimal conservative management fails.

Functional endonasal sinus surgery (FESS) using endoscopes can form the mainstay of surgical therapy for pediatric patients with chronic/recurrent sinusitis. It is a surgical approach that can potentially restore the physiologic function of the paranasal sinuses. Although it was only introduced 5 years ago by Kennedy, it is becoming a popular surgical treatment for sinus disease in the United States. Most past reports have addressed its use in the adult population.

In children, we believe that FESS may be a curative and safe procedure. Gross et al. were the first to report on its use in the pediatric age group. They reported their experience with a series of 57 patients. The diagnosis of sinusitis in children may be difficult. The child is frequently unable to communicate many of the characteristic symptoms of sinusitis. Additionally, radiographic findings may be confusing. Ostensibly normal children may have abnormal findings on plain radiographs.

With the introduction of a wide variety of chemotherapeutic agents and new technologies, our therapeutic choices have become very broad. Accurate diagnosis and appropriate decisions can be made when a thorough understanding of the pathophysiologic mechanism of the disease entity is known.

Read the full article as a PDF here: Functional Endonasal Sinus Surgery in the Pediatric Age Group

Dr. Rande Lazar is the founder of the Memphis-based pediatric ear, nose and throat practice, Otolaryngology Consultants.