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.

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

Article Abstract:

Pediatric Airway:

1. Small; Soft; Pliable
2. Vulnerable to minimal manipulation
3. Minor obstructive changes may lead to serious and potentially fatal conditions (reduction of neonatal glottis by 1mm decreases airway by 40%).
4. STRIDOR is the most common presentation of children with an Anomalous Airway.

Read the full article as a PDF here: Management of the anomalous pediatric airway

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

Dr. Rande Lazar, a skilled Memphis Otolaryngologist, 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 expertise in adult and pediatric sleep and snoring disorders and surgery, as well as adult and pediatric sinus disorders. Dr. Rande Lazar is the founder of the Memphis-based pediatric ear, nose and throat practice, Otolaryngology Consultants.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.

Article Abstract:

Adenotonsillectomy can be safely performed on an ambulatory basis provided strict selection criteria are used. However, there remains concern about compromising patient safety when children younger than 3 years are discharged home on the day of surgery. The major concerns in this age group are respiratory problems, bleeding, and dehydration.

Read the full article as a PDF here: Outpatient Adenotonsillectomy

Learn more about Dr. Rande Lazar at 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 also an experienced Memphis-based Otolaryngologist and surgeon. Dr. Lazar specializes in pediatric ear infections, throat infections, tonsil infections, sinus infections and sleep disorders, but also treats children’s larynx (voice box) and hearing disorders. 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.

Abstract:

Insertion of ventilation tubes has successfully remedied chronic otitis media with effusion in millions of children, but the procedure has been complicated by secondary infections and otorrhea in as many as 34% of the cases. Because infection at the time of surgery was suspected as the primary cause of these postoperative complications, short-term prophylaxis with antibiotic eardrops was proposed for averting secondary infections. To evaluate this hypothesis, we conducted a 6-month prospective study in which 200 children had bilateral tube insertions. Antibiotic eardrops were administered to patients’ right ears intraoperatively and for 3 days after surgery; left ears received no eardrops and served as controls. The prophylactic strategy did not significantly decrease the incidence of postoperative otorrhea in treated right ears compared with controls.

View the full article as a PDF: Ventilation tubes and prophylactic antibiotic eardrops

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

Dr. Rande Lazar is an Otolaryngologist located in Memphis, TN and also the founder of Otolaryngology Consultants. The practice is an ear, nose, and throat office based out of Memphis. Though his primary focus is children, he treats adult patients in the Memphis area. 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. Dr. Lazar 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 a skilled surgeon for both pediatric and adult sleep and sinus disorders.

Article Abstract:

Many surgical procedures, including laryngotracheal expansion with or without grafting, have been suggested for repairing laryngotracheal stenosis in children, and although a variety of stents have been described, the practice of prolonged stenting continues to diminish. We describe 21 pediatric patients with moderate-to-severe subglottic or tracheal stenosis who had laryngotracheal reconstructions with anterior rib cartilage grafts without stenting or intubation. The patients  were between 6 months and 7 years of age at the time of surgery. All patients were extubated in the operating room after the procedure was terminated. One patient required reintubation in the intensive care unit for 48 hours after surgery, and another patient required a tracheotomy. Wound infection occurred in one patient. Most patients were discharged to their homes 3 to 5 days after surgery. We report the indications, technique, results, and complications of laryngotracheal reconstruction using a rib graft without stenting.

Read the full article as a PDF here: Laryngotracheal reconstruction without stenting

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

Dr. Rande Lazar is a Memphis Otolaryngologist whose primary focus is 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, as well as surgical procedures, 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 the Memphis-based pediatric ear, nose and throat practice, Otolaryngology Consultants.

Abstract:

The results after simultaneous bilateral fat graft myringoplasties in children have not been previously reported in the literature. We report on 28 children who underwent bilateral fat graft myringoplasties as outpatient procedures under general anesthesia. The success rate was 91% at final follow-up, with only 16% of children requiring insertion of pressure-equalizing (PE) tubes following surgery. No complications were documented. We conclude that bilateral fat graft myringoplasties are safe to perform, with an excellent success rate, and are suitable as outpatient procedures.

View the full article as a PDF: Bilateral Fat Graft Myringoplasty in Children

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