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Inflated Head and FFM
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chill Offline

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Machine: DreamStation X500
Mask Type: Full face mask
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CPAP Pressure: 13-16
CPAP Software: SleepyHead

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Sex: Male
Location: Vancouver, Canada

Post: #1
Inflated Head and FFM
I am assuming this is normal and expected, but wanted to ask if there was any advice.

I am coming up on two months of PAPin' This has all been with the F&P Eson nasal mask. It has worked very well for me with no major leakage problems. On Monday I am going in to get my deviate septum put on the straight and narrow and a shave and cut for my inferior turbinates. To compensate for the temporary nasal blockage, i got a F&P Simplus FFM. Yes, my ENT surgeon gave the green light to continue using my machine.

I slept with it the first time last night and it was mostly fine, AHI of 1.08 and no major leaks. But I mostly sleep with my tongue stuck to the roof to my mouth, that is how I normally breathe. That is not going to work post-surgery for a few days. I tried pulling my tongue down a few times to allow mouth breathing. When I do... my face inflates. I imagine that I look like an enraged chipmunk on a peanut binge. Thinking about this, it makes sense. The CPAP machine is doing to my cheeks, what it is intended to do to my whole airway. It is just kind of... not comfortable. I looked at chin straps, but they seem more aimed at keeping your mouth closed which is not the issue for a FFM.

Is there a way to make this better? Does the discomfort / odd feeling lessen with time?

Chuck
05-07-2016 12:19 AM
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zonk Offline

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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: Inflated Head and FFM
Hi chill
I had the surgery done some time ago, but didn't use CPAP for a week
Nice to know, the doc have no problem using CPAP straight after the surgery

I cannot offer you any advice regarding your question but good luck with the surgery and wishing you speedy recovery
05-07-2016 03:34 AM
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Sleeprider Offline
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Posts: 3,381
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

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Sex: Male
Location: Where they make Respironics

Post: #3
RE: Inflated Head and FFM
It's true that if you allow the air pressure to enter the mouth you will look like an enraged chipmunk on a peanut binge! Dielaughing

Will your nasal breathing be cut-off for several days, or are we assuming the surgery will make nasal breathing uncomfortable? I don't know a good way around this problem, but your description of it made me laugh. Good luck!

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05-07-2016 07:58 AM
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chill Offline

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: #4
RE: Inflated Head and FFM
Thanks for the replies and wishes. My surgeon is a bit old school and my nose will be packed for two days. That is the reason that I wanted the FFM. The hospital is planning on keeping my over night due to concern about the anaesthesia causing the apnea to worsen. They require me to bring in my machine. I was happy about their approach to this.

I think the effect is mostly positional. Last night I tried it while lying on my side, which is how I normally sleep. The effect was much reduced and not at all uncomfortable. When I lie on my back my cheeks tend to inflate more. I did not find it so bad last night so the first night I may have only been half awake or just shocked by the sudden impersonation of a balloon.
05-07-2016 11:15 AM
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eseedhouse Offline

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Posts: 882
Joined: Dec 2014

Machine: ResMed Airsense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: SimPlus
Humidifier: ResMed
CPAP Pressure: 7-10
CPAP Software: SleepyHead

Other Comments: Also on supplemental O2 at 3L/min. while sleeping.

Sex: Male
Location: Victoria, British Columbia

Post: #5
RE: Inflated Head and FFM
"Chipmunk Cheeks" are fairly common and usually go away as the musculature in your mouth gets used to the pressure differential. Think of it as an exercise program for your cheeks!

Ed Seedhouse
VA7SDH

I am neither a Doctor, nor any other kind of medical professional.

Actually you know, it is what it isn't.
05-09-2016 06:10 PM
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