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[CPAP] Palate defect problems
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JBee Offline

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Posts: 5
Joined: Oct 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: AirFit F10
Humidifier: H5i
CPAP Pressure: 4.0 to 8.0
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #1
Palate defect problems
I am new to CPAP having used my ResMed S9 AutoSet in Continuous mode for 5 days. Humidity set to auto. Dr. wanted max pressure to be 10 but I could not old my mouth closed at that pressure. I have a defect in my palate that connects the mouth directly to the right nose airway. I use a nasal mask. I reduced pressure to max 8.0 and can manage but my mouth gets so dry that I wake up and have to rinse out with water every 2 hours. Anybody else coping with a similar problem? I am getting fitted for a full face mask in 2 weeks thinking that might help.
10-26-2014 02:27 PM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #2
RE: Palate defect problems
(10-26-2014 02:27 PM)JBee Wrote:  I am new to CPAP having used my ResMed S9 AutoSet in Continuous mode for 5 days. Humidity set to auto. Dr. wanted max pressure to be 10 but I could not old my mouth closed at that pressure. I have a defect in my palate that connects the mouth directly to the right nose airway. I use a nasal mask. I reduced pressure to max 8.0 and can manage but my mouth gets so dry that I wake up and have to rinse out with water every 2 hours. Anybody else coping with a similar problem? I am getting fitted for a full face mask in 2 weeks thinking that might help.
Welcome to the forum, JBee
With nasal masks, you need to keep mouth closed, mouth leaks can dry your mouth and compromise your therapy as therapy air escaping thru the mouth. Full face mask is one solution but I prefer to use chinstrap with my nasal mask, chinstrap helps keep mouth closed

The machine can only go as high as needed to control your apnea, it might reach the maximum set pressure or might not, the machine sleep report gives you some indication (95th percentile pressure) and the software gives you the full picture. SleepyHead download link is at the top of the page and you can find ResScan link in " Private Files and Links"
10-26-2014 03:23 PM
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trish6hundred Offline

Advisory Members

Posts: 6,430
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: Palate defect problems
Hi JBee,
WELCOME! to the forum.!
You might try a chinstrap to see if that will help you keep your mouth closed.
Hang in there for more responses to your post and best of luck to you with your CPAP therapy.

trish6hundred
10-26-2014 04:18 PM
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retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #4
RE: Palate defect problems
With a palate issue you may not be able to maintain a seal with anything other than a full face mask. But that's ok, because there are lots of nice options for those. Check around here for favorites. I use a pillows mask, but if I were to use a full face I would take a good look at the Resmed F10. Come back with a new thread if you want and ask folks specifically what they would recommend for a full face mask.
10-26-2014 08:47 PM
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JBee Offline

Members

Posts: 5
Joined: Oct 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: AirFit F10
Humidifier: H5i
CPAP Pressure: 4.0 to 8.0
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #5
RE: Palate defect problems
Thanks everyone. I will try the full facemask - I am scheduled for a fitting by a therapist.
10-29-2014 06:33 PM
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GrammaBear Offline

Advisory Members

Posts: 381
Joined: May 2012

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Air Fit P10
Humidifier: ResMed H5i heated humidifier
CPAP Pressure: 12.2 - 16.2
CPAP Software: SleepyHead

Other Comments: Type 1 diabetes - using Tandem T-slim insulin pump, Dexcom G4 CGM

Sex: Female
Location: northern Illinois

Post: #6
RE: Palate defect problems
Welcome to the forum and I really hope that a full face mask will be the solution to your problem. Do come back and let us know how you are getting on with your therapy.
10-29-2014 07:05 PM
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JBee Offline

Members

Posts: 5
Joined: Oct 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: AirFit F10
Humidifier: H5i
CPAP Pressure: 4.0 to 8.0
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #7
RE: Palate defect problems
I am now using the AirFit F10 full face mask and it works perfectly. Very comfortable and solved the problems with dry mouth and leakage. My AHI has been in the range of .2 to .8 with an average about .3. Before using the CPAP it was measured at 33. Should I expect an AHI of zero with the CPAP machine? I played with the max pressure and set it to 4.2 with a floor of 4.o and my AHI was 1.8. When set at 8.6 I get the low numbers.
11-16-2014 07:36 PM
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surferdude2 Online

Advisory Members

Posts: 1,077
Joined: Jul 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro & Optilife
Humidifier: ResMed H5i @ #3 if nose breathing & #5 if mouth breathing
CPAP Pressure: 12 ~ 20 & 11 ~12 if nasal mask
CPAP Software: ResScan SleepyHead

Other Comments: Late stage 2 emphysema

Sex: Male
Location: Mousetown, Southern Illinois

Post: #8
RE: Palate defect problems
JBee, You have conquered the beast fairly easily it would seem. Kudos to you and a big whopee wow wow! Thanks for posting back your good news so that others, especially newbies, can take hope from your experience.

You need not try nor suspect that you will ever achieve a complete zero AHI although it may occasionally happen. Anything under 5 AHI is considered good enough and well managed enough. Not to worry, you are already doing as well as you ever need to and your days of titration are over with until there is some major change in your condition. Most CPAPers would be overjoyed to have your results! I'd say leave it alone and enjoy the good nights of sleep that it will surely provide.

Thanks & Sleep-well
(This post was last modified: 11-16-2014 07:56 PM by surferdude2.)
11-16-2014 07:52 PM
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JBee Offline

Members

Posts: 5
Joined: Oct 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: AirFit F10
Humidifier: H5i
CPAP Pressure: 4.0 to 8.0
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #9
RE: Palate defect problems
Many thanks for the encouragement. I fear the night I hop out of bed for the bathroom and forget to disconnect!
11-16-2014 08:25 PM
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