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Contact Us About Us Comprehensive evaluation and management of snoring and sleep-disordered breathing – a multidisciplinary approach to a common problem Snoring and sleep apnea can lead to problems far more serious than the disruption of bedroom harmony. Sleep-disordered breathing is associated with high blood pressure, cardiovascular disease and stroke. The condition also increases a person’s risk for automobile accidents. The MUSC Snoring Clinic is a unique multi-specialty medical practice dedicated to the diagnosis and treatment of sleep-disordered breathing. The team is staffed by a sleep surgeon, a medical sleep specialist, and a certified respiratory therapist who meet patients at the initial office visit. Patients receive a comprehensive assessment of health risks associated with their condition; an individualized treatment strategy to reduce long term risks, eliminate snoring and improve quality of sleep; and ongoing reassessment of their condition and progress using objective and validated measures in order to ensure the most positive outcomes possible.  Return to top Services Diagnostic Services
• Comprehensive multichannel laboratory polysomnography at an affiliated accredited facility
• Level 3 home snoring and sleep apnea screening
• Upper airway endoscopy
• Maxillofacial radiography Treatment Services - Behavioral
• Weight loss and exercise counseling
• Smoking cessation services
• Sleep hygiene counseling
• Sleep-related medication management
• Positional therapy Treatment Services - Medical
• Restless-leg syndrome
• Nasal and allergy management
• Gastroesophageal reflux management
• Oral appliance
• Continuous positive airway pressure (CPAP)-custom fitting and counseling services Treatment Services - Surgical
Office-based:
• Pillar procedure
• Inferior turbinate reduction
• Palate somnoplasty
• Tongue base somnoplasty Hospital-based:
• Septoplasty
• Inferior turbinate reduction
• Rhinoplasty
• Nasal valve repair
• Tonsillectomy/Adenoidectomy
• Uvulopalatopharyngoplasty
• Tongue base reduction
• Hyoid suspension
• Maxillomandibular advancement
• Tracheotomy
• SCOOP catheter Return to top Meet Our Team  M. Boyd Gillespie, MD, MS, FACS
Director, MUSC Snoring Clinic
Sleep Surgeon
Associate Professor of Otolaryngology – Head & Neck Surgery
Eric Lentsch, MD
Sleep Surgeon
Assistant Professor of Otolaryngology – Head & Neck Surgery Judith Skoner, MD
Sleep Surgeon
Assistant Professor of Otolaryngology – Head & Neck Surgery Paola Tuminello, MD, DABSM
Board-Certified Sleep Specialist
Assistant Professor of Neurology Betsy K. Davis, DMD, MS
Director, Division of Maxillofacial Prosthodontics
Associate Professor of Otolaryngology and Dental Medicine Return to top Medical Team Member Descriptions Sleep Surgeon
• Provides a comprehensive examination with endoscopy of the patient’s anatomy in order to determine the upper airway sites most likely involved in obstruction
• Identifies and medically manages sources of upper airway inflammation that may contribute to sleep-disordered breathing including sinusitis/ allergy, nasal polyposis, adenotonsillar hypertrophy, laryngopharyngeal reflux, and smoking
• Offers office-based and inpatient surgical services to patients with benign snoring without apnea, upper airway resistance syndrome (UARS), mild sleep apnea with identifiable anatomical obstruction, CPAP intolerance after adequate trial period (minimum 3 months for moderate or severe apnea), and nasal obstruction due to anatomical deformity resistant to medical therapy Medical Sleep Specialist
• Consults on all new patients with sleep-disordered breathing and follow-up of both CPAP and postsurgical patients
• Focuses on management of comorbidities, obesity, lung disease, sleep hygiene and medications that may affect sleep
• Schedules and reads all sleep studies at an accredited sleep diagnostic laboratory
• Schedules CPAP trials as indicated and prescribes CPAP to patients with moderate or severe apnea and to those with milder apnea or UARS who choose CPAP therapy
• Monitors CPAP compliance over the course of several months and refers non-compliant patients to the sleep surgeon for evaluation
• Cares for other sleep disorders including restless leg syndrome, insomnia, narcolepsy, enuresis and others Maxillofacial Prosthodontist
The maxillofacial prosthodontist is available when sleep-disordered breathing results from dental and jaw-related abnormalities. A small lower jaw or large tongue can often be seen in patients with sleep disordered breathing. Patients with this condition who have mild or moderate sleep apnea often benefit from a custom-made oral appliance (“bite block”) that fits comfortably in the mouth and is worn during sleep. This moves the lower jaw forward and results in enlargement of the posterior breathing space. Respiratory Therapist
• Present at the time patients are prescribed CPAP to perform a mask fitting and follow-up of patients to ensure compliance
• Provides follow-up data from CPAP machines to the medical sleep specialist
• Offers the potential of home sleep studies for patients who may benefit from a sleep screening or who are reluctant to undergo a full night polysomnogram. Return to top Research Projects
PI: M. Boyd Gillespie, MD "Pillar palatal implant system additional implant study." January 2006- December 2006. (0.5% effort). Return to top Locations MUSC ENT Associates
East Cooper Medical Arts Building
1280 Johnnie Dodds Boulevard, Suite 205
Mt. Pleasant, SC 29464
View map MUSC Specialty Care
University Place
8992 University Boulevard
North Charleston, SC 29406
View map Return to top Contact Us Referring Physicians
For consultation or referral, call MEDULINE at 1.800.922.9520 or locally at 843.792.2200. Patients
To make an appointment, call 843.792.1414. Return to top | 
