My Poor Nose

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
solution1234

My Poor Nose

Post by solution1234 » Thu Dec 11, 2008 10:40 am

I have been on CPAP for a year and a half. I am 41 and not overweight. In fact I am thin. My pressure setting is 15 cm/H20. I cannot wear a nasal mask, because I am a severe mouth breather. I have tried every full-face mask on the market with the exception of one. I have a mask that fits well (Respironics ComfortFull 2 size medium). It does not leak. The problem is my nose. I have a thin nose bridge and it is right on bone. Raw, cuts, red, and have had to wear make-up from my wife to cover the bad red nose. I have 3,000 hours on my machine now. I feel good, but ready to give up. I have tried band-aids, tape, mole skin, and even cotton socks. No success. My seal is lost and so is therapy. The only masks I have not tried are the Hans Rudolph V2 and the Respironics Full Face Mask. I have worn the ResMed Liberty as a back up, but I loose seal around my nostrils and my mouth drops out of the cup. I am very frustrated. Has anybody used either of these masks I have listed? Anybody know anything else I can do to relieve the pressure without sacrificing therapy.

Sincerely,

David in Kentucky

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roster
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Re: My Poor Nose

Post by roster » Thu Dec 11, 2008 11:10 am

I solved this problem with a Hybrid mask. Been using it exclusively for about 30 months. Great mask.
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I have a vision that we will figure out an easy way to ensure that children develop wide, deep, healthy and attractive jaws and then obstructive sleep apnea becomes an obscure bit of history.https://www.youtube.com/watch?v=0ycw4uaX ... re=related

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SleepyDragon
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Re: My Poor Nose

Post by SleepyDragon » Thu Dec 11, 2008 12:02 pm

solution1234 wrote: ... I have worn the ResMed Liberty as a back up, but I loose seal around my nostrils and my mouth drops out of the cup.
I solved my Liberty leaking problem by switching to the small mouth cup, wearing a PAPcap to keep my mouth from flying wide open (pressure of 19 does that and the streachy chin straps did not offer enough support), using the largest nasal pillows that would fit (large in my case), and putting tape over the nasal pillows to keep them from popping out.

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AuntieNae
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Re: My Poor Nose

Post by AuntieNae » Thu Dec 11, 2008 2:57 pm

Mirage Liberty Mask - small
medium nasal cushions
blue painters tape to keep the nasal cushions in place

but now that I am really falling asleep, my mouth is opening .. so the chin strap might be next for me
AuntieNae
S8 AutoSet II with H4i Humid, reader + software
M Series Auto w Aflex with HH, reader + software
IntelliPAP AutoAdjust with HH, reader + software
Mirage Liberty Full Face with Nasal Pillows and Head Gear
Pursleep, Pad A Cheeks~ :)
Started 9/12/08

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SleepyDragon
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Re: My Poor Nose

Post by SleepyDragon » Thu Dec 11, 2008 3:58 pm

AuntieNae wrote: ... but now that I am really falling asleep, my mouth is opening .. so the chin strap might be next for me
AuntiNae,

I don't know if you have ever broken the Liberty's elbow connector, but I have. Its pretty flimsy. I got around THAT problem by attaching the hose to the top of my PAPcap using the provided velcro strap. That takes the pressure off the elbow connector.

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Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: Treatment Start = 11-July-2008, Mode = CPAP @ 19cmH2O
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TXKajun
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Re: My Poor Nose

Post by TXKajun » Thu Dec 11, 2008 4:02 pm

David, you might want to check out "Mack's Pillow Soft Silicon Ear Plugs" that you can get at Walmart. They are made of solf silicone and you can break them up, roll them out into little ropes, them mash them flat and put on your mask where you're getting the leaks and irritation. They're good for 2 or 3 days each. Plus, they're pretty cheap.

Good luck!

Kajun

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roster
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Re: My Poor Nose

Post by roster » Fri Dec 12, 2008 9:10 am

SleepyDragon wrote: ........putting tape over the nasal pillows to keep them from popping out.
The "ladies tights leg" fix is much better than tape for keeping the pillows in place.
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I have a vision that we will figure out an easy way to ensure that children develop wide, deep, healthy and attractive jaws and then obstructive sleep apnea becomes an obscure bit of history.https://www.youtube.com/watch?v=0ycw4uaX ... re=related

Solurtion123

Re: My Poor Nose

Post by Solurtion123 » Fri Dec 12, 2008 11:16 am

Thanks a million to all your posts.

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Lineman
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Re: My Poor Nose

Post by Lineman » Fri Dec 12, 2008 11:26 am

solution1234 wrote:I have been on CPAP for a year and a half. ...... I am a severe mouth breather. I have tried every full-face mask on the market Sincerely,

David in Kentucky

Ok, your situation is similar to mine. Tho I was lucky enough to hit on the ResMed Quattro FFM early on. That mask works very well for me but I still used to get the sore nose bridge fairly frequently. What cured that symptom for me was to wash my face (particularly the nose bridge area) thoroughly just before donning the mask and going to sleep. Clean skin without oils seems to greatly improve the mask sealing ability. After that I was able to adjust the mask to a looser fit and then no more Rudolph syndrome.

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AuntieNae
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Re: My Poor Nose

Post by AuntieNae » Fri Dec 12, 2008 11:50 am

Yep, I have broken the elbow connector .. used painters tape for a week until I got it replaced at the DME. (I think I rolled over it)

I am thinking the suggestion to put the hose over my head will be very soon .. sort of got really tangled in the hose last night .. since I have this sinus and deep asthma cough going on, I roll over more.
S8 AutoSet II with H4i Humid, reader + software
M Series Auto w Aflex with HH, reader + software
IntelliPAP AutoAdjust with HH, reader + software
Mirage Liberty Full Face with Nasal Pillows and Head Gear
Pursleep, Pad A Cheeks~ :)
Started 9/12/08

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jskinner
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Re: My Poor Nose

Post by jskinner » Tue Dec 16, 2008 11:37 am

solution1234 wrote: I have worn the ResMed Liberty as a back up, but I loose seal around my nostrils and my mouth drops out of the cup.
I had the same loose nasal seal problem with the Liberty. I've had the elbo break numerous times as well but ResMed as modified it and it hasn't broken since I got one of the new ones. Like SleepyDragon, I found tape to be the leak solution. ( I used the 'Soft Silicon Ear Plugs' fix for a while as well as you can see in the picture)

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roster
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Re: My Poor Nose

Post by roster » Tue Dec 16, 2008 12:09 pm

James, Have you tried a loop of ladies' tights legs? It is easier and more comfortable.
Rooster
I have a vision that we will figure out an easy way to ensure that children develop wide, deep, healthy and attractive jaws and then obstructive sleep apnea becomes an obscure bit of history.https://www.youtube.com/watch?v=0ycw4uaX ... re=related

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Re: My Poor Nose

Post by jskinner » Tue Dec 16, 2008 12:24 pm

rooster wrote:James, Have you tried a loop of ladies' tights legs?
No, do you have a link to a description on how to do it?

thanks, James
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AuntieNae
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Re: My Poor Nose

Post by AuntieNae » Tue Dec 16, 2008 12:36 pm

I would appreciate the linky too.
S8 AutoSet II with H4i Humid, reader + software
M Series Auto w Aflex with HH, reader + software
IntelliPAP AutoAdjust with HH, reader + software
Mirage Liberty Full Face with Nasal Pillows and Head Gear
Pursleep, Pad A Cheeks~ :)
Started 9/12/08

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roster
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Re: My Poor Nose

Post by roster » Tue Dec 16, 2008 4:42 pm

jskinner wrote:
rooster wrote:James, Have you tried a loop of ladies' tights legs?
No, do you have a link to a description on how to do it?

thanks, James
Take a pair of ladies' tights and cut the legs out to make two straps. One can be a backup while the other is in the laundry bin. Get what is handy. You can use tights with or without the "footie" part.

Tie each leg into a loop with a knot. I stole the illustration below from Rested Gal. For my Hybrid mask, which is similar to your mask, I position the tights similar to the last photo. The tights go over the pillows and a bit of the lower part of my nose. They are made of nylon and are very soft and wick moisture. I hardly can tell they are on my nose but they really hold the pillows in place when I am tossing and turning. Of course don't position them over the exhaust ports.

Image

My wife just bought me a replacement pair of tights at a closeout store for $1.00.

[/img]
Last edited by roster on Tue Nov 17, 2009 6:49 pm, edited 1 time in total.
Rooster
I have a vision that we will figure out an easy way to ensure that children develop wide, deep, healthy and attractive jaws and then obstructive sleep apnea becomes an obscure bit of history.https://www.youtube.com/watch?v=0ycw4uaX ... re=related