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:

Revision functional endonasal sinus surgery (FESS) is recommended for patients whose symptoms of chronic or recurrent sinusitis persist despite primary FESS, long-term maximal medical therapy, and no sign of other abnormalities as demonstrated by computed tomography. After analyzing the charts of 673 patients who underwent primary FESS, we reviewed the 63 cases of revision surgery performed between 1986 and 1989. This retrospective analysis presents the management and outcome of 16 children (<16 years) and 47 adults who had revision FESS. The overall success rate of revision FESS was 78%, with no major complications, reflecting the improved management of sinus disease offered by this procedure.

View the full article in PDF format: Revision 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-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.

Abstract:

Pediatric functional endonasal sinus surgery (FESS) requires significant surgical training and proficiency. Although the technique is essentially the same as for adults, children need different tactics in each step of the treatment. Preoperative assessment of children relies on the clinical manifestations and the findings of computer tomography scans of the sinuses. Because office nasal endoscopy is not well tolerated by children, the procedure must be done under general anesthesia. The intraoperative approach depends on obtaining adequate vasoconstriction and the surgeon’s understanding of varied pediatric anatomy. Careful follow-up, including medical therapy and a nasal endoscopic examination under general anesthesia, is necessary to ensure a good outcome.

Read the full article as a PDF: Pediatric Functional Endonasal Sinus Surgery: Preoperative Evaluation, Surgical Technique, and Postoperative Care

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. Dr. Lazar specializes in pediatric ear infections, throat infections, tonsil infections, sinus infections and sleep disorders. He 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:

Functional endonasal sinus surgery (FESS) is widely used in the treatment of chronic sinusitis in adults and children. Although success rates of 80% to 93% have been reported, no criteria for success or improvement have been suggested. Standardized measures are needed to assess the outcome of FESS and to compare the results obtained by different surgical teams and for various patient groups. After reviewing the charts of 500 pediatric patients who underwent FESS between July 1987 and June 1992, the authors of this study formalized criteria for assessing the outcome of surgery.

Read the full article as a PDF: Criteria for Success in Pediatric Functional Endonasal Sinus Surgery

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

Dr. Rande Lazar, 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, is the founder of Otolaryngology Consultants. 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 skilled 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 can be contacted at Otolaryngology Consultants.

Abstract:

Functional endoscopic sinus surgery (FESS) has become the surgical procedure of choice for the treatment of chronic sinusitis that is refractory to medical treatment. It has become routine to perform endoscopy in children under general anesthesia 2 to 3 weeks after FESS to facilitate examination and cleaning of the operative site. We compared the clinical outcome of 50 children who underwent FESS without a second-look endoscopy with 50 children who underwent a routine second look. Patients with systemic disease (cystic fibrosis, immotile ciliary syndrome, immunoglobulin deficiency) or undergoing a revision procedure were excluded from the study. The results show that the postoperative improvement in nasal obstruction, nasal drainage, and chronic cough was the same for both groups. We conclude that in the vast majority of children without systemic disease and not undergoing a revision procedure, a second endoscopic procedure may not offer any apparent advantage.

View the full article in PDF format: Pediatric Functional Endoscopic Sinus Surgery: Is a Second Look Necessary?

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