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[CPAP] Leaking and narrow nose
#1
Been on CPAP for 6 months.  On my third mask, started with a Quattro, then simplus and now a F20.  I have central sleep apnea.  My problem is leaking around my nose bridge.  I have a liner on, but I have a narrow nose.  I have to wear a FFM.  Any suggestions?  Does any one use Laniosh ?  How do you use it.  My AHI range from 3-5 mainly.  right now I am between insurance, so I have no resp company.
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#2
G'day Zimm4r. Welcome to Apnea Board.

I have a similar problem. I found that a partial liner helps a lot. Take a strip of fabric ( eg flannelette) and fold it so you have three layers about 20mm wide and 80mm long. Drape this over the bridge of your nose, then place the mask so that the fabric is between the mask and your skin. You might need more or less layers and different dimensions to suit your facs, but a little experimentation will set it right.
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#3
Lanoish cream is for use in the nasal openings. Most of us who use a nasal pillow mask
use this to keep nasal passages from getting irritated.

Since you are using a full face mask, you probably don't need it.
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#4
I will try that.  Do you think it matters if flannette or I use tshirt material?  My whole cpap experience has been a large experiment.  Thankfully there is forums like this to help us out
Thanks
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#5
zimm4er,

The F20 mask generally seals well on the nasal bridge IF you make sure to push it up on your face so that it rests against your brow. It does not seem to like riding even a little lower on your nose. A lot of people put it on by placing just the seal at the top of the mask on their nose midway up or so. Then slide it up the nose until your brow stops it. Then put the rest of the mask against your face. Pull the headgear over your head and fasten the lower straps.

Another thing for your consideration with the F20. At your pressure, with a full face mask, your headgear will need to be strapped on fairly tightly. Your mask will not "float on your face" actually it will but not the way it would feel if you just laid the mask on your face while lying on your back. I can feel the mask float a little when I switch from inhale to exhale quickly and strongly. Your mask straps should be adjusted just tight enough to make the leaks stop and no more. You should work your tightening in small increments to insure that you do not go by the "just tight enough" point.

I have noticed that your pressure is fairly high. It is in the same area as mine. I mouth leak and have not been able to solve it with a chin strap. The only full face masks that I have found that work well for me are the F20 and the Mirage Quattro. My problem is not so much a thin nose but a deep set nasal bridge and prominent cheekbones. I was using the Mirage Quattro which works well for me when the F20 came out. It took me a while with the F20 but I finally got it working almost as well as the MQ. I get slightly better leakage rates with the MQ.

I find the F20 a little more convenient. The narrower straps on the headgear were making my neck sore so I purchased a pair of strap sleeves from Padacheek (I think they are supplier number 31 on our supplier list). That helped a lot and they can be used to minimize strap marks.

Let us know how you do.

Best Regards,

PaytonA
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