Anyone tried "direct seal cushions" with Comfort L

shalomnatalie · Post by **shalomnatalie** » Fri Nov 23, 2007 1:43 pm

I can't use masks that fit over my nose, so I'm limited to nasal pillow type masks. But the problem with nasal pillow masks is they cause sores inside my nose. I see that Comfort Lite II has a "direct seal cushion" as an option (it's a nasal pillow that doesn't actually go inside your nose). I was wondering if anyone has tried this option, and if so how did you like it? I'd love to try it, but how well does it stay in place and how good is the seal around your nostrils if it doesn't actually go inside your nostrils? Any advice? Please help.

_________________

CPAPopedia Keywords Contained In This Post (Click For Definition): nasal pillow, seal

_________________

CPAPopedia Keywords Contained In This Post (Click For Definition): nasal pillow, seal

OutaSync · Post by **OutaSync** » Fri Nov 23, 2007 1:59 pm

I have tried those. There is no possible way that they are going to stay in place when you move. I tried all the pantyhose (tights) tricks, lanolin, Ayr lotion, KY Jelly, Macks ear plugs......

I would be curious if they have ever worked for anyone, too.

sharon1965 · Post by **sharon1965** » Fri Nov 23, 2007 4:41 pm

i used to use this option and i loved it...the CL2 has so many ways to adjust it, you just have to keep playing with it to get the fit right, especially the one that adjusts the angle of the arm that holds the pillows

i used it quite successfully for a few months and then had septoplasty...after that it just wouldn't work for me; kept waking up with a sore nose

wabmorgan · Post by **wabmorgan** » Fri Nov 23, 2007 10:32 pm

Following my septo-rhinoplasty.... I found the Activa was the ONLY mask I could use that wouldn't hurt my nose for several months.

_________________

CPAPopedia Keywords Contained In This Post (Click For Definition): activa

ozij · Post by **ozij** » Fri Nov 23, 2007 11:07 pm

Natalie,
I've been using nasal pillows masks since about April 2005.
When I started I used the Breeze, and it caused sores inside my nostrils (mostly one of them).
I talked to my RT who recommended a 3 day break -- 2 was enough for me. And the problem never recurred.

And - I used KY Jelly on the nasal pillows for 3-4 months. The KY was a recommendation made by a Resmed rep. in a (transcripted) chat - and it worked fine for me. He also recommended Ayr Gel - unavailable where I live.

Members of this forum have been very happy using Lanisoh too.

I use the Aeiomed Headrest mask which has very soft pillows, and is pliable. My nostrils will get sore once in a few months, when I push the seal too tight.

Are you aware that for many people larger nasal pillow make a better seal without having to be pushed too tight?

You should also soak any new mask (the parts that touch your skin) in soapy water for 30-60 minutes to make sure you don't have a allergic reaction to production residue left on the seal - this again is a recommendation from a company rep on a transcripted chat.

O.

Gerald · Post by **Gerald** » Sat Nov 24, 2007 12:04 am

Natalie.....

My soul-mate has a problem with one side of her nose. Evidently, her nose was broken in a car wreck over 50-years ago.....and a regular "bellows" type nose-piece causes pain on one side.

We're experimenting tonight with Mack's Silicone Putty......available from Walgreen's in the area where ear-plugs are sold.

"mtstromberg" began a thread entitled "Another use for the silicone putty" a day or so ago. As instructed, we've made tiny "doughnuts" of silicone putty (we're using 1/4 of an ear plug to make each doughnut)......and placing them over the ends of the bellows....so that the ends of the bellows don't go too far inside her nose.

We'll know in the morning if we're making headway on the pain problem. The mask is a CL-2 using a "petite" bellows-type nosepiece.

Gerald

DreamStalker · Post by **DreamStalker** » Sat Nov 24, 2007 8:29 am

Yep ... what ozij said.

On my third night, my nose was too sore for me to use the machine (effects of hypoxia were much worse than the sore nose the next day). It is the only time I have missed using the hose in a year-and-a-half.

Forum members suggested I try Ayr's Gel ... so I got the one w/Aloe and I was back on the hose the next night. I used it for a couple of months after that (rubbing some on my nares just before putting on my mask).

My nose got used to it after a while and I don't use anything now ... just takes a bit of time for the body to get used to everything ... and no I don't have callouses on my nose ... feels, smells, and looks just like it did before it did before starting treatment.

Best of luck.

dkeat · Post by **dkeat** » Sat Nov 24, 2007 11:18 am

I found this interface to be the best for me by a long shot. You have to get the mask set up properly, of course, all the right angles, etc. I have a deviated septum and this interface sort of fits into the nose far enough for it to hold the nasal airways open. So far I have avoided surgery this way. The trick here is to get a size smaller than you actually need. That way it can go a ways into the nose. It also stays in place that way. While using it this way is probably not the intended use, it works well for me. I nearly never suffer from a sore nose. Only when the mask needs adjustment does this interface rub me the wrong way.

ratkinson · Post by **ratkinson** » Mon Nov 26, 2007 4:40 pm

dkeat wrote:I found this interface to be the best for me by a long shot. You have to get the mask set up properly, of course, all the right angles, etc. I have a deviated septum and this interface sort of fits into the nose far enough for it to hold the nasal airways open. So far I have avoided surgery this way. The trick here is to get a size smaller than you actually need. That way it can go a ways into the nose. It also stays in place that way. While using it this way is probably not the intended use, it works well for me. I nearly never suffer from a sore nose. Only when the mask needs adjustment does this interface rub me the wrong way.

I agree 100% Once set up correctly, this interface is about the best I've tried (for Me). I haven't tried the size smaller route, as I get a really decent seal with the size 5. I do wake up ocassionally with some leakage, but I can regain my seal within 5-10 seconds.... Once my set up was right I didn't have to raise it up tight to my nose either. I have not had any problem with sore nares. I used baby chap stick for the first three days...I was afraid I may get sore, but, when I stopped using it soreness never came. So far so good... I hope it works well for you also.

Richard

Machine	Mask

Mask

Anyone tried "direct seal cushions" with Comfort L

Anyone tried "direct seal cushions" with Comfort L

Direct Seal