World Class Treatment In Your Hometown
Snoring & Sleep Apnea
UTHSC Sleep Surgery Clinic
Multi-specialty, comprehensive, and individualized evaluation and management of snoring and sleep-disordered breathing.
The UTHSC Sleep Surgery Clinic is a unique medical practice dedicated to the diagnosis and treatment of sleep-disordered breathing. Untreated snoring and sleep apnea are associated with increased risk of high blood pressure, cardiovascular disease, and stroke, and may increase the risk of automobile accidents. Sleep-disordered breathing is associated with reduced quality of life for the patient and bed partner.
The UTHSC Sleep Surgery Clinic is staffed by a sleep surgeon with strong affiliations with a tertiary sleep lab and a dental sleep medicine practice. Patients receive a comprehensive assessment of the health-related risks of their sleep-disordered breathing. An individualized treatment strategy is formulated to reduce the long-term health risks of sleep-disordered breathing while eliminating snoring and improving the quality of sleep for each patient. Ongoing reassessment using objective and validated measures are performed to improve treatment outcomes.
M. Boyd Gillespie, M.D., MS, FACS
Director, UT Methodist Sleep Surgery Clinic | Professor & Chair, UTHSC Otolaryngology – Head & Neck Surgery
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♦ Obstructive sleep apnea
♦ Nasal blockage
♦ Deviated septum
♦ Inferior Turbinate Hypertrophy
♦ Nasal valve collapse
♦ Uvula swelling
♦ Enlarged tonsils (tonsilitis)
♦ Enlarged adenoids
♦ Lingual tonsil hypertrophy
♦ Excessive daytime sleepiness
♦ Restless leg syndrome
♦ Acid reflux disorder
♦ Nasal allergy
♦ In-lab sleep study at an accredited facility
♦ Home snoring & sleep apnea testing
♦ Upper airway endoscopy
♦ Drug-induced sleep endoscopy
♦ Maxillofacial radiography
Techniques & Technology:
♦ Barium swallow study
♦ Flexible endoscopic evaluation
♦ Laser surgery
♦ Injection laryngoplasty
–Smoking cessation counseling
–Sleep hygiene counseling
–Sleep-related medication management
–Nasal and allergy management
–Gastroesophageal reflux management
–Oral appliance/ Mandibular advancement device
–Continuous positive airway pressure (CPAP) – custom fitting and counseling services.
–Inferior turbinate reduction
–Tongue base radiofrequency
–Inferior turbinate reduction
–Nasal valve repair
–Robotic Tongue Surgery
–Hyoid Suspension (AirVance; AirLift)
–Tongue Suspension (AirVance; AirLift)
–Hypoglossal Nerve Stimulation (Inspire)
Multispecialty Patient Evaluation:
The 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. The surgeon will also identify and medically manage sources of upper airway inflammation that may contribute to sleep-disordered breathing including sinusitis/ allergy, nasal polyposis, adenotonsillar hypertrophy, laryngopharyngeal reflux, and smoking. The surgeon will offer 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:
The medical sleep specialist consults on all new patients with sleep-disordered breathing, and provides follow-up of both CPAP and post-surgical patients. The medical sleep specialist focuses on the management of comorbidities, obesity, lung disease, sleep hygiene, and medications that may affect sleep. The medical sleep specialists will schedule and read all sleep studies at a an accredited sleep diagnostic laboratory. The medical sleep specialist will schedule CPAP trials as indicated, and prescribe CPAP to patients with moderate or severe apnea, and to those with milder apnea or UARS who choose CPAP therapy. The sleep specialist will monitor CPAP compliance over the course of several months, and refer non-compliant patients to the sleep surgeon for evaluation. The sleep specialist will also care for other sleep disorders including restless leg syndrome, insomnia, narcolepsy, enuresis, among other conditions.
Dental Sleep Medicine Specialist:
The dental sleep specialist 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 (night-guard) 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.
The UT Methodist is an academic institution dedicated to excellence in teaching and research in addition to patient care. Select patient cases will be presented at multi-specialty sleep teaching conferences. In addition, UT Methodist Sleep Surgery patients will be assessed for eligibility for clinical trials investigating the latest advancements in the diagnosis and treatment of sleep-disordered breathing.
In Your Hometown
UT Baptist Otolaryngology
7675 Wolf River Circle | Suite 202
Germantown, TN 38138 | Directions
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