Based out of Memphis, Tennessee, Dr. Rande Lazar is the founder of Otolaryngology Consultants, an ear, nose, and throat practice in the city. Dr. Lazar is a specialist with a primary focus in pediatrics. He has a wide range 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 treats a wide range of head and neck problems, including pediatric larynx (voice box) and hearing problems.

To find out more information about Dr. Rande Lazar and his practice, contact Otolaryngology Consultants of Memphis.

Article Abstract:

Introduction:

• Sinusitis is a common disease entity
• Number one chronic illness in the U.S.
• Accounts for millions of health care dollars

Read the full article as a PDF here: The Medical and Surgical Management of Sinusitis in Children

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, and is also an experienced Memphis-based Otolaryngologist and surgeon himself. If you are looking for someone who specializes in pediatric ear infections, throat infections, tonsil infections, sinus infections and sleep disorders, then you have found Memphis’s premier place. Dr. Lazar treats children’s larynx (voice box) and hearing disorders. Also, Dr. Rande Lazar 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.

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

Article Abstract:

Sinusitis:

• Common disease entity in children and adults
• Most common chronic illness in the United States surpassing arthritis and hypertension
• Thirty million people are infected with sinusitis every year

Read the full article as a PDF here: Your Sinuses and You

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

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

To find out more about ear, nose and throat disorders, please contact Dr. Lazar at Otolaryngology Consultants of Memphis.

Article Abstract:

Schwann’s cell tumors are common neoplasms arising from the neural sheath of autonomic, cranial or peripheral nerves. We describe a case of destructive malignant schwannoma of the right ethmoid and sphenoid sinuses. The tumor was successfully treated by surgical excision, external radio therapy, and radon seed implants. The patient remains symptom free 3 years after therapy ended, emphasizing the previously unrecognized benefits of radiotherapy for these types of tumors. The value of endoscopy in diagnosing and following schwannomas of the nasal and paranasal sinuses is highlighted in our review of the clinicopathologic features and radiologic findings of this tumor.

Read the full article as a PDF here: Schwannomas of the Paranasal Sinuses

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

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

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

Dr. Rande Lazar is an Otolaryngologist and founder of Otolaryngology Consultants, an ear, nose, and throat practice located in Memphis, TN. Dr. Lazar is a 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. Lazar routinely performs surgery for both adult and pediatric patients. 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.

Rande Lazar, MD is available at his Memphis-based pediatric ear, nose and throat practice, Otolaryngology Consultants. Contact him if you have any concerns or issues he can help you with.

Article Abstract:

Evaluating the extent of chronic sinusitis in children is critical in management of the disease and determination of the need for surgery. High-resolution computed tomography can demonstrate disease that is not shown on routine x-ray films. It can also delineate pathologic variations and demonstrate inaccessible anatomic structures. We compared plain radiographs, CT scans, and intraoperative findings for 300 pediatric patients with chronic or recurrent sinusitis. Despite an imperfect record in demonstration of sinus disease in all of our patients, computed tomography was unquestionably better than plain radiography in diagnosis of chronic sinusitis and evaluation of the need for surgery. Despite its superior performance, CT should not be used exclusively to diagnose disease or propose surgery. These determinations must be made on the basis of a combination of the patient’s symptoms, physical examination findings, and CT results.

Read the full article as a PDF here: Comparison of plain radiographs, coronal CT, and intraoperative findings in children with chronic sinusitis

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, 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:

The paranasal sinuses are common sites of infection in children. The diagnosis of sinusitis may be challenging because the sinus cavities are small and variably contoured, the clinical manifestations are often nonspecific, and the radiologic findings may be equivocal. Because many local and systemic factors contribute to sinusitis in children, the therapeutic regimens vary. In addition to conventional medical approaches, new surgical procedures and improved anesthetic techniques have made functional endonasal sinus surgery an excellent management tool for selected patients with chronic or recurrent disease.

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

If your child is suffering from chronic sinusitis, please contact Dr. Rande Lazar at his practice.

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.