Post Reply 
[Health] No CPAP During Sinus Surgery Recovery
Author Message
Sleepster Offline
Wiki Editor
Moderators

Posts: 4,995
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #1
No CPAP During Sinus Surgery Recovery
They want to do a sinus surgery on me to remove polyps in my sphenoid and frontal sinuses. The problem for me is during the six-day at-home recovery period I cannot sleep with my CPAP machine. The danger is that any fissures in the bones caused by the surgery need time to heal, and until that happens there's a danger that air from a CPAP machine could get blown into my brain!

There will be no packing in the nose and I should be able to breathe through my nose during recovery.

Has anybody experienced going through this sort of thing without CPAP therapy? This is the one thing that makes me hesitant about having the surgery.

They think, but cannot know for sure, that this procedure will stop the dizziness I've been having for the last four months. I had it last year for two months.

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


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.
06-16-2016 04:19 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
chill Online

Advisory Members

Posts: 864
Joined: Mar 2016

Machine: DreamStation X500
Mask Type: Full face mask
Mask Make & Model: Walk-in Mask Closet
Humidifier: DreamStation
CPAP Pressure: 13-16
CPAP Software: SleepyHead

Other Comments: CPAP True Believer

Sex: Male
Location: Vancouver, Canada

Post: #2
RE: No CPAP During Sinus Surgery Recovery
I have no idea, but "fissures in the bones caused by the surgery need time to heal, and until that happens there's a danger that air from a CPAP machine could get blown into my brain" made me shiver. Oh-jeez

This sounds a bit more than the turbinate trim that I had. 10 days of mouth breathing on CPAP was not fun. None at all... I would not look forward to that.

Best wishes.
06-17-2016 12:29 AM
Find all posts by this user Post Reply Quote this message in a reply
justMongo Offline

Monitors

Posts: 3,855
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #3
RE: No CPAP During Sinus Surgery Recovery
Surgery for: They think it will stop dizziness? Sounds like a painful gamble; and I don't see a connection to dizziness. That's usually an inner ear thing.

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.
06-17-2016 05:56 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Sleeprider Online
Wiki Editor
Advisory Members

Posts: 3,398
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #4
RE: No CPAP During Sinus Surgery Recovery
Wow, if a CPAP is dangerous to your brain, please don't sneeze!

By all means follow doctor's orders, but this sounds misguided. If the risks of brain infection from 8-10 cmH2O air pressure are significant enough to warrant discontinuing CPAP, then I wouldn't do the surgery. JMHO

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
06-17-2016 07:24 AM
Find all posts by this user Post Reply Quote this message in a reply
green wings Online

Advisory Members

Posts: 553
Joined: Feb 2016

Machine: Respironics System One RemStar Pro (460)
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: integrated humidifier
CPAP Pressure: 13.0 cm
CPAP Software: SleepyHead

Other Comments: using CPAP since Jan. 2016

Sex: Undisclosed
Location: US

Post: #5
RE: No CPAP During Sinus Surgery Recovery
Sleepster, I am really sorry to hear that you've having so many problems with dizziness.

Your post reminded me of something that I've been wondering about, though. Does air really go up our noses any faster than usual when we're using CPAP? It feels more like there's a stream of air that's going by the end of my nose and out my mask vent, and I inhale air from that stream as needed, at a normal inhalation rate.

Your doctor's warning sounds terrifying, eek! I'm just wondering if his caution is based on studies.

Does anyone know if studies have been done on this?
06-17-2016 07:42 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
OpalRose Offline

Monitors

Posts: 3,181
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #6
RE: No CPAP During Sinus Surgery Recovery
Sleepster,
This procedure sounds more involved that just removing polyps. What will they be doing to cause bone fissures? Is this surgery including a reconstruction of the nose?

You are braver than I would be. If it were me, I would get a second opinion if you haven't already done so.
If the end result is better breathing, it may be worth pursuing, but going without Cpap therapy will be challenging. You may be sleeping in a recliner untill you can use your Cpap again.

A thought...have they ruled out other reasons for the dizziness, like vertigo, or high blood pressure?

OpalRose
(This post was last modified: 06-17-2016 08:02 AM by OpalRose.)
06-17-2016 07:59 AM
Find all posts by this user Post Reply Quote this message in a reply
Sleepster Offline
Wiki Editor
Moderators

Posts: 4,995
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #7
RE: No CPAP During Sinus Surgery Recovery
The surgery is simply to remove polyps. The frontal and sphenoid sinuses are blocked and filled with fluid. This is a known cause of dizziness. The condition can be described as a kind of asthma of the sinuses. It will flare up and fade away. This surgeon had me start taking Singular yesterday.

I'm currently experiencing a flare up of dizziness that's lasted 4 months. Last year's lasted two months. Prior to that I'd have small ones that came and went.

Last year when it lasted for 2 months a different ENT did a series of tests and lots of other causes have been ruled out. There is one more test he said they could do where I'm placed a table and the table is rotated and tilted. They didn't do that because by that time the dizziness had faded away.

There is a small but nonzero chance of a fissure, which is why there's no CPAP therapy during recovery. Perhaps it's because they'll be removing polyps in the frontal sinuses, which are close to the brain. I find it strange that others who have had sinus surgery were able to use their CPAP during recovery. The surgeries I had 15-20 years ago were pre-CPAP for me and there was packing in my nose that prevented me from breathing through my nose. I would rather mouth breathe with CPAP than not without CPAP!

This time there will be no packing, so I will be able to breathe through my nose. The medicines they are giving me now seem to be alleviating the symptoms, so at least I can postpone the surgery while I have time to think about it. The meds are amitriptyline, flonase, and meclizine.

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


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.
06-17-2016 09:36 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
trish6hundred Offline

Advisory Members

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: #8
RE: No CPAP During Sinus Surgery Recovery
Hi Sleepster,
I wish you good luck on your surgery decision. Wow, no CPAP during recovery, you'll be using the recliner a lotduring those 6 days, that's for sure.

trish6hundred
06-17-2016 06:33 PM
Find all posts by this user Post Reply Quote this message in a reply
OMyMyOHellYes Online

Advisory Members

Posts: 915
Joined: Mar 2013

Machine: Respironics 560 Auto
Mask Type: Nasal mask
Mask Make & Model: Resmed Mirage FX
Humidifier: Respironics System One (no heated hose)
CPAP Pressure: 08.0-15.0 cm/H2O
CPAP Software: EncoreBasic

Other Comments:

Sex: Male
Location: Texas

Post: #9
RE: No CPAP During Sinus Surgery Recovery
(06-17-2016 07:42 AM)green wings Wrote:  Your post reminded me of something that I've been wondering about, though. Does air really go up our noses any faster than usual when we're using CPAP? It feels more like there's a stream of air that's going by the end of my nose and out my mask vent, and I inhale air from that stream as needed, at a normal inhalation rate.

I don't see it as MORE or FASTER air, just a tiny bit higher pressure holding the throat open. From the back of the throat, the pulmonary system should be a closed system. (If not, you may want to see your friendly physician sometime in the near future.) Air will only go in at the speed the diaphram displaces downward. Speed dependent on that displacement and the diameter of the tube or cavern it is flowing through according to Danny Bernoulli.

But it is more/faster air than would go in with the throat choked off when none goes in.

OMMOHY
(This post was last modified: 06-17-2016 06:49 PM by OMyMyOHellYes.)
06-17-2016 06:48 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
richb Online

Advisory Members

Posts: 542
Joined: Jun 2015

Machine: Resmed AirCurve 10 ASV
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: Built in
CPAP Pressure: Epap 6 Ipap 8 Auto ASV
CPAP Software: ResScan SleepyHead

Other Comments: Idiopathic Central Apnea

Sex: Male
Location: Vermont

Post: #10
RE: No CPAP During Sinus Surgery Recovery
Hi Sleepster,

Best of luck with your surgery. I was unable to use my machine for 6 days when recovering from nasal surgery. I was glad when I could go back on my machine. I couldn’t sleep very well anyway due to the splints I had in my nose. I hope they can get you back on your machine quickly.

Rich

Apnea Board Member RobySue has posted a Beginners Guide to Sleepyhead Software here: http://www.apneaboard.com/wiki/index.php...SleepyHead
06-17-2016 07:00 PM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  Maxillomandibular advancement surgery AMA mrkdilkington 0 115 11-29-2016 04:07 PM
Last Post: mrkdilkington
  Question for those who had MMA Surgery - Feeling Hopeless voiddweller 7 323 10-30-2016 02:56 AM
Last Post: 49er
  Sleep Apnea Surgery zeeser 5 598 10-26-2016 02:42 PM
Last Post: Kadenz
  New to this. Airsense 10 & Sinus issues Caseous 6 466 10-17-2016 06:02 PM
Last Post: Sleeeppp
  Sinus Infections GingerMan512 3 460 09-22-2016 01:01 PM
Last Post: Homerec130
  Is it okay to decrease cpap pressure after nose surgery? kowlooner 8 579 09-13-2016 11:33 AM
Last Post: kowlooner
Question [CPAP] Upcoming endoscopic surgery and CPAP Wrz77 2 287 09-08-2016 08:28 PM
Last Post: Mike1953

Forum Jump:

Who's Online (Complete List)