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Nasal pillows sizes and shapes
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JJJ Offline

Advisory Members

Posts: 751
Joined: Apr 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: Most recent: Wisp, Pilairo, Mirage Vista
Humidifier: ResMed S9 Autoset
CPAP Pressure: 17-20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: USA 97217

Post: #1
Nasal pillows sizes and shapes
In the two months since I started CPAP therapy I have used mostly nasal pillow masks - Opus 360, Swift FX, Swift LT - and I have seen other nasal pillow masks at the DME. I have constant leaks and really poor results. (A Mirage Vista is on the way and should be here Friday.) The main problem with the nasal pillows is that they were not designed for my nostrils. All of the masks I have seen have pillows that look like / \. My nostrils are | |. Plus, the pillows have too much space between the nostrils. No wonder I have lots of leaks when the pillows are not designed for my nose.

I would suggest that instead of making small, medium and large the manufacturers should make lots more configurations available.
06-13-2012 10:39 PM
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ScottBerglin Offline

Preferred Members

Posts: 25
Joined: May 2012

Machine: Respironics System One Auto A-Flex
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift FX
Humidifier: Remstar Heated Humidifier
CPAP Pressure: 9 - 14
CPAP Software: SleepyHead

Other Comments: APAP since 8/2/2010, AHI average/yr = 2.10

Sex: Male
Location: Lake Forest Park, WA

Post: #2
RE: Nasal pillows sizes and shapes
I completely agree with you. Instead of just capping off the nostrils I think they should be more tapered and insert into the nostril just slightly. I think that would stop leaking without being uncomfortable.

--==<< old, experienced, but still curious >>==--
06-14-2012 11:59 AM
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BabyDoc Offline

Preferred Members-2

Posts: 184
Joined: May 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model:
Humidifier: ResMed H5i with Climateline Tubing
CPAP Pressure: 6.0 -16.0 CM
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Beachwood, OHIO

Post: #3
RE: Nasal pillows sizes and shapes
I think if nasal pillows fit inside your nose, they wouldn't be pillows. They would be a source of constant irritation. It took me a while to figure out that the more I pushed the pillows into my nostrils by tightening the straps, the more the pillows leaked. I think pillows are really designed to just cap off the nostrils without doing damage to the nasal cartilage or nasal mucosa. On the other hand, the looser the straps on the pillows were, the more that the pillows shifted and leaked, when I roll my body from side to side. My solution has been the chin strap. It surrounds my face and covers a portion of the nasal pillow straps, keeping them in place as well as my mouth. My median leak now is 0.0.
(This post was last modified: 06-14-2012 12:45 PM by BabyDoc.)
06-14-2012 12:44 PM
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ScottBerglin Offline

Preferred Members

Posts: 25
Joined: May 2012

Machine: Respironics System One Auto A-Flex
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift FX
Humidifier: Remstar Heated Humidifier
CPAP Pressure: 9 - 14
CPAP Software: SleepyHead

Other Comments: APAP since 8/2/2010, AHI average/yr = 2.10

Sex: Male
Location: Lake Forest Park, WA

Post: #4
RE: Nasal pillows sizes and shapes
You may be right about the constant irriation from deeper fitting "pillows". My experience of leaking with too much or too little pressure is the same as yours. Luckily, my FX pillows work fine in that mid-range of mask-tightness. I get very little leaking with the Swift FX.

--==<< old, experienced, but still curious >>==--
06-14-2012 12:54 PM
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Sleepster Offline
Wiki Editor
Moderators

Posts: 4,991
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: #5
RE: Nasal pillows sizes and shapes
The ComfortLite2 comes with a variety of different nasal cushions and pillows of different sizes. The pillows have two bendable metal strips. By bending the strips I can change the angles they make with my face and with each other. This just might be the type of adjustability you're looking for.

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.
06-14-2012 07:32 PM
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JJJ Offline

Advisory Members

Posts: 751
Joined: Apr 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: Most recent: Wisp, Pilairo, Mirage Vista
Humidifier: ResMed S9 Autoset
CPAP Pressure: 17-20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: USA 97217

Post: #6
RE: Nasal pillows sizes and shapes
(06-14-2012 07:32 PM)Sleepster Wrote:  The ComfortLite2 comes with a variety of different nasal cushions and pillows of different sizes. The pillows have two bendable metal strips. By bending the strips I can change the angles they make with my face and with each other. This just might be the type of adjustability you're looking for.

That's good to keep in mind. However, my Mirage Vista arrived just today, so that is what I am going to try next. Tonight will be the first test. Cross your fingers for me. Okay
06-14-2012 09:38 PM
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PollCat Offline
Apnea Board Polling Administrator
Monitors

Posts: 1,576
Joined: Feb 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: H5i Cleanable with ClimateLine
CPAP Pressure: 10 - 18
CPAP Software: SleepyHead

Other Comments: CPAP-ing since 1995; Type 2 Diabetes; Chronic Asthma; Gout

Sex: Male
Location: Westfield, IN

Post: #7
RE: Nasal pillows sizes and shapes
If you're still having problems with leakage, you may want to check out the Respironics Optilife headgear and nasal pillow system. I've been using it for several years without any leakage issues.


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.
06-14-2012 10:41 PM
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BabyDoc Offline

Preferred Members-2

Posts: 184
Joined: May 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model:
Humidifier: ResMed H5i with Climateline Tubing
CPAP Pressure: 6.0 -16.0 CM
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Beachwood, OHIO

Post: #8
RE: Nasal pillows sizes and shapes
(06-14-2012 10:41 PM)bobg1946 Wrote:  If you're still having problems with leakage, you may want to check out the Respironics Optilife headgear and nasal pillow system. I've been using it for several years without any leakage issues.

As I read all of these comments, I am amazed that everyone swears by a certain mask or pillow. Others can swear at the same product. It goes to show you that one size can't fit all, and why there is need for so many different models out there for us to try before finding our perfect mask/pillows.

I am still looking for perfection, although I am a bit closer now with my Swift FX pillows than I was with the Mirage FX nasal mask. The only problem I have with reading somebody's comment that he has found HIS perfect mask, I want to try that mask. That gets, soo expensive, fast!
06-15-2012 11:18 AM
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bostonian Offline

New Members

Posts: 2
Joined: Jun 2012

Machine: IntelliPAP AutoAdjust Travel CPAP Machine with SmartFlex
Mask Type: Nasal pillows
Mask Make & Model:
Humidifier: IntelliPAP Integrated Heated Humidifier
CPAP Pressure: 9-14
CPAP Software: Other Software

Other Comments:

Sex: Male
Location:

Post: #9
RE: Nasal pillows sizes and shapes
I'm new to the board and I like the swift fx too. I have an opus 360 that I like as well and just purchased the new aloha which I am using now and will probably stay with , but then again, I said that two masks ago.
06-15-2012 04:42 PM
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