The ENT who did my sleep endoscopy thinks the Alaxostent would work and she would probably be willing to prescribe it but of course it's not going to be covered by insurance.
With my pain doc dealing with my neck arthritis issues it's been easier to sleep in a position my CPAP works in. I just had the turbinate reduction done, still recovering from that (no real improvement as a result, yet... some nights I can't breathe at all through my nose because of the drainage and swelling on the left side especially which makes for a horrid night). They sometimes have to go in and redo, i guess. I would like more taken out of the left side. It is constantly pressurized and obstructed so after a while of lying down things get worse regardless of allergies. I almost never have trouble in the right side nostril, so that tells me it's not likely to be allergies.
I do think some kind of palate surgery would work for me. Sometimes when i get dried out, the palate isn't as flexible and I can manage to exhale without it flapping shut for a while anyway. But as soon as I swallow and spread the moisture around it goes back to flapping shut.
To convince the insurance to cover anything for this is another matter entirely. I'm still miserable more nights than I care to be. And I have enough other health stuff and family stuff stressing me out that I need to be able to sleep.