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Air leak into mouth-- "Chipmunk Cheeks"
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SideSleeper Offline

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Machine: PR DS560HS REMstar Auto-A Flex+ +
Mask Type: Nasal mask
Mask Make & Model: Wisp & Dreamwear
Humidifier: Respironics System One
CPAP Pressure: APAP 11-11
CPAP Software: SleepyHead

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Sex: Female
Location: Western Oregon, USA

Post: #1
Air leak into mouth-- "Chipmunk Cheeks"
I've had my CPAP for just over a month and CPAP tech very pleased with results. 30 day AHI was 4.4 (2 week AHI is 2.4), 100% mask fit, wore the mask for full night every night. Pressure set a 11 cm, C-Flex setting 3. I started with a Wisp mask and at 2 weeks got a DreamWear mask which I love--AHI lower since then. I have a problem I have not found on the forum--with mouth fully closed, teeth tight together, I get an air leak back into my mouth giving me "chipmunk cheeks." When awake I just swallow, but asleep this will blow my mouth open with a swoosh that wakes me up. It is worse if I'm on my back, a little better on right side, and lowest on my left side. CPAP tech at medical supply office can't tell me what is wrong--I see my sleep doc this week. Anyone else have this problem--it cuts back on my actual sleep time! (Note: I use the Restronics Sleep Mapper, now called Dream Mapper) software.)
10-15-2015 12:23 AM
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zonk Offline

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Machine: A10 AutoSet
Mask Type: Nasal mask
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Post: #2
RE: Air leak into mouth-- "Chipmunk Cheeks"
Some tips here, also scroll down to "Possibly Related Threads", bottom of the page
http://www.apneaboard.com/forums/Thread-...-with-XPAP
10-15-2015 02:17 AM
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trish6hundred Offline

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Posts: 6,452
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #3
RE: Air leak into mouth-- "Chipmunk Cheeks"
Hi SideSleeper,
WELCOME! to the forum.!
Much success to you with your CPAP therapy and hang in there for more answers to your questions.

trish6hundred
10-15-2015 09:24 AM
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PaulaO2 Offline
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Posts: 8,067
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #4
RE: Air leak into mouth-- "Chipmunk Cheeks"
Yes, it is called lip leaking. It happens to a lot of new users. There's tricks you can do. Sometimes a chin strap can help because the pressure on the sides will help push in the cheeks and keep them from filling. There's also a chin strap called the PAPcap that is specifically designed for lip leaking.

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
10-15-2015 10:11 AM
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HDK Anchorage Offline

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Posts: 7
Joined: Aug 2015

Machine: Phillips Respironics System One (60 series) Remstar Auto
Mask Type: Full face mask
Mask Make & Model: Respironics Amara View
Humidifier: Respironics (heated)
CPAP Pressure: 11 cmH20
CPAP Software: SleepyHead Other Software

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Sex: Male
Location:

Post: #5
RE: Air leak into mouth-- "Chipmunk Cheeks"
(10-15-2015 12:23 AM)SideSleeper Wrote:  I've had my CPAP for just over a month and CPAP tech very pleased with results. 30 day AHI was 4.4 (2 week AHI is 2.4), 100% mask fit, wore the mask for full night every night. Pressure set a 11 cm, C-Flex setting 3. I started with a Wisp mask and at 2 weeks got a DreamWear mask which I love--AHI lower since then. I have a problem I have not found on the forum--with mouth fully closed, teeth tight together, I get an air leak back into my mouth giving me "chipmunk cheeks." When awake I just swallow, but asleep this will blow my mouth open with a swoosh that wakes me up. It is worse if I'm on my back, a little better on right side, and lowest on my left side. CPAP tech at medical supply office can't tell me what is wrong--I see my sleep doc this week. Anyone else have this problem--it cuts back on my actual sleep time! (Note: I use the Restronics Sleep Mapper, now called Dream Mapper) software.)

SideSleeper

My settings are the exact same as yours, i.e., fixed 11 cm, C-flex @ 3. I'm also using a Respironics System one.

I was given nasal pillows to start my therapy and found myself being awoken with my cheeks flapping. I then switched to the Wisp with the same results. I bought a Halo chinstrap and that really didn't help plus I didn't like the extra gear on my head. I then transitioned to an Amara full face mask. I used the Amara for about two months with mixed results...the silicone cushion yielded good results but the bridge of my nose was being chewed up something fierce. The gel cushion was more comfortable but it was prone to flapping.

I then switched to an Amara View and have had great results. I know that some have had problems with the View but it seems to be the perfect solution for me. Sleepmapper shows an average of 99% mask fit for the past 60 days (Sleepyhead shows similar results with no major leaks). My AHI went up only slightly and I'm averaging 0.9% for the past 60 days. Might be worth a try on your next insurance cycle for replacement gear.

Regards,

HDK
10-15-2015 10:11 AM
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PaulaO2 Offline
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Moderators

Posts: 8,067
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #6
RE: Air leak into mouth-- "Chipmunk Cheeks"
Yeah, the extra gear to put on can be a major PITA. But so is finding the right FFM. As someone who went through that, I urge folks to find other solutions first. The "chipmunk cheek" problem is fixable.

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
10-15-2015 10:16 AM
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SideSleeper Offline

Advisory Members

Posts: 227
Joined: Oct 2015

Machine: PR DS560HS REMstar Auto-A Flex+ +
Mask Type: Nasal mask
Mask Make & Model: Wisp & Dreamwear
Humidifier: Respironics System One
CPAP Pressure: APAP 11-11
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Western Oregon, USA

Post: #7
RE: Air leak into mouth-- "Chipmunk Cheeks"
(10-15-2015 10:11 AM)PaulaO2 Wrote:  Yes, it is called lip leaking. It happens to a lot of new users. There's tricks you can do. Sometimes a chin strap can help because the pressure on the sides will help push in the cheeks and keep them from filling. There's also a chin strap called the PAPcap that is specifically designed for lip leaking.

Thanks Thanks to all tat replied. I'd sure hate to go to a FFM after using this new DreamWar mask--I was claustrophobic with a Wisp! I will see what the doctor advises....
(This post was last modified: 10-15-2015 12:11 PM by SideSleeper.)
10-15-2015 11:59 AM
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MtFallsTodd Offline

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Posts: 19
Joined: Oct 2015

Machine: PR auto A-Flex
Mask Type: Nasal pillows
Mask Make & Model: PR Nuance Pro
Humidifier: PR
CPAP Pressure: 6-14
CPAP Software: SleepyHead

Other Comments: Get to know your local water ways and what lives in them. It will give you a lifetime of enjoyment.

Sex: Male
Location: Winchester, VA

Post: #8
RE: Air leak into mouth-- "Chipmunk Cheeks"
Just got a dreamwear mask myself. Still fine tuning and finding the proper fit. Seems like a good concept but I find it a little loud. Had the chipmunk thing going on for awhile but a Ruby chinstrap helped lots. Good luck with this, hope it is something you can fix.
10-15-2015 07:00 PM
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Stumbonie Offline

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Posts: 8
Joined: Oct 2015

Machine: Resmed AirSense 10 Elite
Mask Type: Full face mask
Mask Make & Model: Respironics Fitlife Full Face
Humidifier: None
CPAP Pressure: 19.5
CPAP Software: Not using software

Other Comments: CPAP since 1999

Sex: Undisclosed
Location: USA

Post: #9
RE: Air leak into mouth-- "Chipmunk Cheeks"
When I began using the Respironics Fitlife Full Face mask it took care of chip monk cheeks and long standing irritations/sores on the bridge of my nose and/or my forehead(depending on the mask in use) Since the Fitlife goes around the bottom of your lips above the chin it effectively works like a chin strap. The mask seriously improved my CPAP comfort.

Another thought: You may want to adjust or turn off the C-Flex as a test to see if you have any improvement. I ended up turning it off on my previous unit because the feature never reacted well enough for me to improve my CPAP experience. Same for my brand new Resmed AirSense 10 Elite.

Please post updates.
(This post was last modified: 10-15-2015 07:59 PM by Stumbonie.)
10-15-2015 07:56 PM
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SideSleeper Offline

Advisory Members

Posts: 227
Joined: Oct 2015

Machine: PR DS560HS REMstar Auto-A Flex+ +
Mask Type: Nasal mask
Mask Make & Model: Wisp & Dreamwear
Humidifier: Respironics System One
CPAP Pressure: APAP 11-11
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Western Oregon, USA

Post: #10
RE: Air leak into mouth-- "Chipmunk Cheeks"
Thanks for all the suggestions. My doctor was really pleased with my progress, will sign my papers trying to get my driver's license back (fell asleep and rear ended a car in April) and recommended I try a chin strap. He set my fixed pressure up to 12. I probably will try turning off the C-Flex--it is on 2 now--has been back and forth between 2 and 3 with no apparent change. I really like the DremWear mask--was claustrophobic even with the small Wisp mask, so hopefully won't have to go the FFM route!
10-15-2015 09:24 PM
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