Can Palatal Prolapse be treated with CPAP

[yrnkrn]

you have a different machine

I have both AirCurve and AirSense machines. This results are from modded firmware on an AirSense 10 machine so some Oscar stats may be wrong. minPS was 2 and maxPS was 7 which Oscar is showing as N/A while Max IPAP should not be shown at all. Given the modded firmware I would not call this an Oscar bug, although it would be nice to have fixed if possible. So far I've used this firmware for about two weeks, machine behaviour makes sense and the graphs do look reliable.

I usually sleep with higher EPAP of 5-6 and see palatal prolapse waveforms few times every night but not expiratory flat waveform. While trying out the ASV mode I lowered EPAP to its minimum of 4 to minimize the max pressure of the ASV=EPAP+max PS. No apneas with EPAP=4 which is OK but the low expiratory pressure may cause my usual palatal prolapse waveforms becoming flat expiratory limitations.

Pressures were stable 6/4 across 12 minutes so this flat expiratory flow could be reproduced with regular fixed 6/4 BiLevel likely even CPAP=4:

   
   

yrnkrn - Please make a zip copy of your SD card. There is something odd there that I'd like to take a look at.
You can use OSCAR to make the zip file. Go to Help->Troubleshooting-> Create zip of CPAP data card. Put your user name in the filename and upload it to Gideon's Drop box: https://www.dropbox.com/request/6VeFzBXa4qZ37EgphL5b

Done.

[cathyf]

I don't know if this is relevant at all, but I did an amusing experiment awhile back where I used my cpap to record me singing, and to me this looks sort of like the characteristic shape of PP. Here's the picture:
http://www.apneaboard.com/forums/attachm...?aid=31553

So expiratory flow limitation looks intriguingly like singing?

(For anybody who has ever sung in a choir, at least half of choral direction is the director yelling "NO BREATH" when you really want to breathe in the middle of a musical phrase. I have half-seriously wondered if in those REM-sleep apneas maybe I'm dreaming that I'm singing and not supposed to be breathing...)

So is the flow being limited in the vocal cords?

[Sleeprider]

Looks like an Airbreak machine. I don't believe Oscar completely supports that mod.

[quiescence at last]

Thank you, cathyf. That is neat. This gives us an idea of what some of us may be doing during those episodes. I have some. Perhaps a bit of moaning or other utterances.

QAL

[SleepyCPAP]

I’ve vanquished expiratory Palatal Prolapse!
I’ve been using the 6” AlaxoStent along with my VAuto and Bleep mask.
Zero AHI for three out of four nights of AlaxoStent use (the first night was a measly 0.3 AHI before I got stent placement better). No Palatal Prolapse waveforms showing up in OSCAR.
I’m updating my SleepyCPAP Treatment thread.

[imposterdroids]

I’ve vanquished expiratory Palatal Prolapse!
I’ve been using the 6” AlaxoStent along with my VAuto and Bleep mask.
Zero AHI for three out of four nights of AlaxoStent use (the first night was a measly 0.3 AHI before I got stent placement better).  No Palatal Prolapse waveforms showing up in OSCAR.  
I’m updating my SleepyCPAP Treatment thread.

Interesting - I've been using nastent with limited success, mostly because they clog and kink easily.  Nothing like that happening with alaxo?

[Sleeprider]

Be sure to read the Review of the AlaxoStent posted by SleepyCPAP http://www.apneaboard.com/forums/Thread-...A-Approved

[SleepyCPAP]

Interesting - I've been using nastent with limited success, mostly because they clog and kink easily.  Nothing like that happening with alaxo?

Welcome to the forum, imposterdroids 
No kinking with AlaxoStent.  If you look at my treatment thread you’ll see the first night I had a few small flow limitations, possibly due to mucus in the stent reducing my airway (nose not used to it first time). It is best if I answer questions there so as not to hijack this thread.
http://www.apneaboard.com/forums/Thread-...ent?page=6

[Frank43]

I read your post speaking about you Palatal Prolapse.  I wanted to get an update, and see how you are doing now in 2023.  I have the same condition. Please reply and advise.  Thanks in advance.

[aquamike]

yrnkrn - Please make a zip copy of your SD card. There is something odd there that I'd like to take a look at. 

Hi there- my flow pattern is often identical to the 2nd photo posted by yrnkrn.  pholynyk- did  you determine if this was some backend glitch in OSCAR, or a true readout of airflow?