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Best mask for mouth breathers

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Best mask for mouth breathers

Postby HouseDO » Tue May 08, 2007 6:30 pm

Any recommendations on a mask for mouth breathers? Despite my telling the people at the sleep center than the cannula-style won't work, that's what they sent me home with anyway (along with the chin strap that doesn't work also).

Do doctors not listen to patients anymore?
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Postby bdp522 » Tue May 08, 2007 6:51 pm

The mask is the hardest part to get right! I mouth breathe, but use a nasal pillow mask and tape my mouth shut nightly. I do great this way. The other choice is a full face mask. I do use and love the hybrid mask but many have trouble getting it to work for them. Ask your DME if you could trial a FF mask. Some DMEs allow this others don't. Do a google search for sleep apnea full face masks and see what comes up, look at all the masks and see if any look like something you might be able to get comfortable with.
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Postby SleepySandyG » Tue May 08, 2007 7:46 pm

Unfortunately, there aren't nearly as many FF masks on the market when compared to nasal-only. However, there are options. I'm posting a bunch of links here that are to the manufacturer websites for the various masks. The forum rule is you can't post links to sites that sell stuff. Since you can't buy the masks from the manufacturer websites, I'm hoping the links don't get removed.

Most FF masks have a "spring air" dual layer cushion technology. One layer is against your face and the CPAP pressure inflates the cushion. It's supposed to conform to your face. It's actually difficult to describe but makes sense once you see it. The design is supposed to leave the mask sort of "floating" on your face. I don't really care for this design because it doesn't feel very secure, but a lot of people have no trouble at all. I did eventually get used to it.

Masks I have and have used

    Resmed - Ultra Mirage Full Face (UMFF). I have this. It's a very popular mask and many people on another forum I visit consider it the most comfortable FF mask out there. Unfortunately, it doesn't work well for me because I have a very narrow bridge and I have to kind of squish it against my face to stop eye leaks. The bottom of this mask hits about the middle of my chin. I didn't realize this mattered until I started using the ComfortFull 2 mask listed below. http://www.resmed.com/en-us/products/masks/ultra_mirage_full_face_mask/ultra-mirage-full-face-mask.html?menu=products

    Respironics - ComfortFull 2 (CF2). I have this. It works better for me than the UMFF. I don't have as much trouble with soreness on the bridge of my nose. The "skirt" of this mask is deeper and stiffer than the skirt on the UMFF. When I say skirt I'm referring to the part of the mask between the cushion that hits your face and the hard plastic shell of the mask. The bottom of this mask hits just above my chin / just below my bottom lip (that sort of dent). This often puts pressure on my bottom teeth, which I don't want to have long term. http://comfortfull2.respironics.com/Default.asp

    Innomed - Hybrid. I have this. This is a FF mask with nasal pillows and a face mask. The upside of this design is there's nothing on the bridge of your nose. You said you can't use cannulas. Cannulas are the prongs that go inside your nose, but that makes me unsure if you can use nasal pillows. Nasal pillows don't actually go in your nose like the prongs do, so maybe you can use them. I've struggled with this mask but I'm evaluating it for my RT so I keep trying. I have a lot of trouble with nasal pillows (previously tried the Swift and it was awful). I'm doing better with it now and I'm loving not having any pressure on the bridge of my nose. One of the great benefits of the Hybrid is it comes with all sizes. S / M / L mouth cushion and S / M / L nasal pillows. You can mix and match everything - use small nasal pillows on a medium mouth cushion, for example. Also, the nasal pillows can be cut apart so you can use 2 different sizes. I'm using one small nasal pillow; one medium nasal pillow; small mouth cushion. I like the fact that you don't have to purchase the sizes separately. You can also have the nasal pillows in a "low" or "high" position. http://www.respcare.com/hybrid/index2.htm
Other FF masks:

    Resmed is coming out with a new FF mask that I think isn't available just yet. It's called the Quattro and is supposed to be the updated version of the UMFF. Definitely look at the Quattro features. If I need to try a new FF mask the Quattro is pretty high on my list because some of the evaluation posts I've read indicate I may be able to control the eye leaks without the pressure on my bridge. http://www.resmed.com/en-us/products/masks/mirage_quattro_full_face_mask/mirage-quattro-full-face-mask.html

    Resmed is also coming out with a Hybrid-like mask called the Liberty. Read the Liberty info and compare it to the Hybrid. The features seem well-outlined on the Resmed site and there are some things that I find intriguing. One thing I find interesting is the "trampoline action" feature for the nasal pillows (and I LOVE the name). That seems to be like the "low" and "high" setting of the Hybrid nasal pillows, but it seems the "trampoline action" could offer more positions based on the little video. They also show "dual wall technology" on the nasal pillows. I wonder what that is and if it provides a better nasal seal. While it comes with 3 sizes of nasal pillows, you have to choose one mouth cushion - either small or large. Also, there's no indication you can cut the nasal pillows apart to use 2 different sizes if you need to. http://www.resmed.com/en-us/products/masks/mirage_liberty_full_face_mask/mirage-liberty-full-face-mask.html

    Soyala Full Face. I don't have this and haven't tried it on. It's German. The US distributer website has very little information listed. On the manufacturer's website, the FF mask is called the Yara, but they're just calling it the Soyala FF mask in the US. The things I've read indicate the Soyala nasal mask is fantastic but the Soyala FF is not so great. The manufacturer website is here: http://www.weinmann.de/1457/?L=1

    Fisher and Paykel - FlexiFit 431. I don't have this and haven't tried it on. General reviews I've read are down the middle. Some people really like it. Some can't control leaks. http://www.fphealthcare.com/osa/FlexiFit431.asp

    Fisher and Paykel - FlexiFit 432. I don't have this and haven't tried it on. General reviews I've read are down the middle. Some people really like it. Some can't control leaks. http://www.fphealthcare.com/osa/FlexiFit432.asp

    SleepNet - Mojo. I don't have this and haven't tried it on. General reviews I've read are a bit more con than pro. Some people do really like it, but one of the issues is the way the "cushion" is. Rather than the spring air cushion, this cushion is gel filled. Some people find the pressure from the CPAP pushes air out between the cushion gel and your face. http://www.sleep-net.com/mojo.htm

    Hans Rudolph - 7600 Oro Nasal Mask. I don't have this and haven't tried it on. This mask seems to be the least popular of all masks I've read about, but there are some people for whom this mask is just perfect. Here's the link: http://www.rudolphkc.com/detail.php?pid=4. You have to open the PDF files on the page to see the mask.
I highly recommend researching the various FF masks and then contacting your DME to let them know what ones you want to try on. Many DMEs will allow you to do an exchange if you have problems with the mask. I was very fortunate because my DME let me do this multiple times (I had A LOT of mask issues).

Note: Edited on 5/9 to include Hans Rudolph link; additional Hybrid information; additional Liberty information
Last edited by SleepySandyG on Wed May 09, 2007 3:53 pm, edited 1 time in total.
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Postby tiredteacher » Wed May 09, 2007 8:31 am

That was very informative Sandy. =D> I too want to give the quatro a try.
Last edited by tiredteacher on Mon May 14, 2007 12:45 pm, edited 1 time in total.
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Postby BARBCCRN » Wed May 09, 2007 2:43 pm

I am totally a mouth breather. I have used the F/P flexifit 431 and liked it. The reviews on the 432 are mixed-most people like the 431 better. I have been using the Oracle an oral mask since July '06-most people hate it but I am so glad I took a chance and plunked down the $85 to try it...I am in love with this mask!!!!
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Postby Will » Wed May 09, 2007 3:25 pm

I'm a hybrid user myself, switched over from most recently the UMFF and a couple of other FF masks before that. The UMFF did not work well for me, I had fits between too tight and too loose that I never got completely worked out. Obviously it works well for a lot of people though. I've been very happy with the Hybrid, I prefer the design of not having the mask rest on the bridge of my nose.
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Postby St. Remy » Sat May 12, 2007 12:27 pm

BARBCCRN wrote:I am totally a mouth breather. I have used the F/P flexifit 431 and liked it. The reviews on the 432 are mixed-most people like the 431 better. I have been using the Oracle an oral mask since July '06-most people hate it but I am so glad I took a chance and plunked down the $85 to try it...I am in love with this mask!!!!

Hello,

Is the Oracle that mask that has a mouthpiece, that you bite into and get it to fit in your mouth? Tell me, are there bad leaks on this?
I am just trying the Flexfit 431 and I made it 2 hours the last two nights because of terrible LEAKS. Everywhere.
I am also trying to Mojo, but when the tech was here, he could not get it to seat on my face without leaks. Push this side, it leads the other
side, push the top, it leaks the bottom!

I read on this forum that somone said the Oracle feel a little cheap - do you have this feeling about it? Would appreciate the advice.
Best, St. Remy
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Postby BARBCCRN » Sat May 12, 2007 2:41 pm

I used the 431 for 8 months and liked it but was not in love with it. I have using the Oracle since last July. The Oracle is much like a scuba mask-an inner interface that goes in your mouth and then an outside interface that you can tighten or loosen. My leak rate with the Oracle is significantly lower than the leaks I use to register with the 431. I have been getting quite a few pms recently from people who are considering trying the Oracle. I may not be the person to ask because quite a few people never get used to it but I have been in love with the Oracle since the very first night. I see that you are on a pressure of 14;I'm on 15 and I don't have any issues with the Oracle except for an extremely dry mouth which disappears with 1 swig of water.
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Postby John32 » Mon May 14, 2007 4:24 am

Hi bdp522.

I just foud out air leaks out of my mouth through my lips when I use my nasal mask (Mirage Activa). It's not like I open my mouth, but air comes out of my lips. So, like you do and I had read before on these forums, I taped my mouth for the first time last night. It seemed to work, but this morning I woke up with stomach crambs from all the air that I swallowed. My stomach was full of air. I had read this also. About how this happened to some people that use full face masks. Is it normal that this happened to me just by taping my mouth (not using a full face mask)? Has this happened to anyone? Should I keep on trying the tape trick it or not? Does this mean I shouldn't use a full face mask (I was thinking of trying it)? Thanks bdp522 and anyone for any advice.

John.
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Postby tillymarigold » Mon May 14, 2007 11:16 am

John32 wrote:Hi bdp522.

I just foud out air leaks out of my mouth through my lips when I use my nasal mask (Mirage Activa). It's not like I open my mouth, but air comes out of my lips. So, like you do and I had read before on these forums, I taped my mouth for the first time last night. It seemed to work, but this morning I woke up with stomach crambs from all the air that I swallowed. My stomach was full of air. I had read this also. About how this happened to some people that use full face masks. Is it normal that this happened to me just by taping my mouth (not using a full face mask)? Has this happened to anyone? Should I keep on trying the tape trick it or not? Does this mean I shouldn't use a full face mask (I was thinking of trying it)? Thanks bdp522 and anyone for any advice.

John.


I've noticed that too; I'd been waking up due to lip fluttering (when air comes out of your lips without opening your mouth) so I started taping my mouth about a week ago. I'm starting to wonder if my lip fluttering that had been waking me up, was actually due to needing to burp (sorry) from the aerophagia. In fact, there was one night I didn't tape my mouth as well and I kept waking up to burp around the tape. Last night I woke up once needing to burp and tried to ignore it and get back to sleep--it worked, but sure felt funny.

I would think a FF mask might solve that, since you could burp into the mask and it probably wouldn't wake you up since the pressure would still be equal. I *think* (but am not sure) that aerophagia could be made worse by breathing through your mouth, but it's not inherently that a FF mask causes it, more that people who use FF masks are more likely to mouth-breathe.

YMMV.
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Postby St. Remy » Mon May 14, 2007 12:55 pm

I ONLY noticed burping & inhalation of large amounts of air when taping my mouth (or polidenting it). With
my FFM, I think so much air is going in and out that I don't open my mouth. I also noticed a good deal of
GI gas.

Re taping the mouth, I tore skin on my upper & lower lips that resulted in a nasty infection! Beware!!!
St. Remy
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29 apneas/hour; no REM; no deep.
Oxygen desat 90-84%
14 cm H2O pressure
Failed CPAP use
TAT oral appliance 8/13/07
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Postby BARBCCRN » Mon May 14, 2007 1:30 pm

The things we do to make our CPAP work better. I have to use nose plugs with the Oracle...problem is they tend to get slick and start sliding out-so I just use plastic medical tape and tape them in place. What would we do if we couldn't improvise but have to admit we are a creative and very determined bunch. Don't come between a hosehead and a good nights sleep!! :lol: :lol: :lol:
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Postby TiredOne » Tue May 15, 2007 1:16 am

If the pressure is set correctly, doesn't it force the mouth shut? I find it impossible to sleep with my mouth open unless my mask is leaking or my nose is plugged.
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Postby tillymarigold » Tue May 15, 2007 9:57 am

TiredOne wrote:If the pressure is set correctly, doesn't it force the mouth shut? I find it impossible to sleep with my mouth open unless my mask is leaking or my nose is plugged.


Yes. That's why I keep waking up every time my mouth opens. Because it's impossible to sleep with my mouth open. I sleep with it shut--I wake up when I open it. *g*
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Postby John32 » Tue May 22, 2007 3:23 pm

Hi everyone.

I don´t know if I'm a mouth breather (I don't snore much, I sleep on my stomach), but I do know I have air leaks through my lips. Do I need a full face mask? Is there any special model of full face mask for stomach sleepers? Thanks.

John.
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