Broken nose

[Neilupshall]

Hi all.
new to the forum and looking for a little help. I have looked but haven't spotted anything that relates to my issue.
I've only been on CPAP for a month so I'm very new to all this. I was supplied with the Simplus full face mask but have constant issues with leaking. I'm a restless sleeper due to back injuries and move many times in the night, changing my sleeping position to relieve back pain but knocking the mask from its correct position.
I bought a Brevida Nasal Pillow mask which works well and keeps a good seal, heres the but ! I go to sleep without a problem but wake after 2 hour with terrible pain in my nose.
I think the pillow mask produces a slight upward pressure and as my nose is broken, causes some form of irritation in the structure of my nose. There is no skin soreness . It honestly feels like I've taken a punch to the face.
I've tried everything, adjusted the headgear position and the tension to the point where it wont seal effectively and the results are the same.
I took out the fit insurance but I'm reluctant to send it back as it works well with the exception of waking g in pain.
What I am wondering is would I have the same issue with a nasal mask?
The headgear looks more robust and appears to influence the mask position compared to the pillow type. I'm not the type to take advantage normally of insurances but I am running out of options to try.
Any help or advice would be gratefully received.
Thanks Neil

[Kelly @ Intus]

Good Morning,

Thank you for your post.

Can I kindly ask how many nights that you have used the Brevida mask for as there is always an adjustment period.

If by using the Brevida nasal pillow mask. this causes you to have noise pain, then I would suggest swapping your mask to one of the following
1. Nasal cushion mask - As these go over the nose, rather then into the nostril area https://www.cpap.co.uk/shop/cpap-masks/nasal-masks.html
2. DreamWear Nasal CPAP Mask - FitPack https://www.cpap.co.uk/dreamwear-fit...-headgear.html

Please note that nasal masks are for people who breathe through your nose only. If you breathe through your nose and mouth then you should be using a full face mask. If you have a cold or the airway in your nose is restricted due to an injury/surgery etc then we would also suggest using a full face mask.

With regards to the Simplus full face mask that you have already, I would suggest
1. Checking the sizing guide to ensure you are using the correct size mask for your face
2. Watch a fitting video for your mask on youtube to ensure you are putting on and adjusting your mask correctly.
3. Try a sample pack of RemZzzs CPAP Mask Liners. These are a soft cotton fabric liner creates a barrier, absorbs skin oils and reduces air leaks as well as skin irritation and pressure marks.
Here is a link to the product page - https://www.cpap.co.uk/remzzzs-cpap-...sk-liners.html
4. If you sleep on your side and are concerned about knocking your mask on your pillow, would consider using the CPAP Pillow 2.0 - https://www.cpap.co.uk/cpap-pillow-2-0.html

Please let me know if you have any questions, or if I can be of any further assistance.

Kelly

[Neilupshall]

Hi Kelly.
It's about 10 days I think, but the same results every time. I can usually tolerate it for about 2 to 3 hours before I wake in pain. As I said my nose has been broken and something I noticed last night at 1am was my nostrils were equal in size when I took the nasal pillow off. Usually the right one is significantly narrower.
I will continue persevering with the nasal mask as its sealing ability and comfort out weighs the full face mask. Obviously, if it continues to cause pain I will exchange for a nasal mask as you suggested.
The Simplus mask was seized at the hospital so I assume its correct but as a construction manager who performs face fit testing on RPE i would say with confidence that it is correct. The issue is though that i have a beard which as you know is a big no no with the full face type. This coupled with a back injury which means I'm actively moving most of the night to stay comfortable is not the best combination. I'll keep plugging away every night with the pillow as I dont really wish to give up on it and hope that my nose adapts, but obviously i may need to change.
Really grateful for your reply on this and also the humidifier question, which i will be ordering from yourselves.
I'll keep you posted if i succeed with the pillow fight
cheers Neil....

[Giny @ Intus]

Hi Neil,

Thank you for your reply and persevering with your mask.
It can take 2-3 weeks to get used to a new maks hence the 28 days for the mask mask fit insurance. If you experience pain with a mask because of your nose, you might wnat to consider the maks that sits under your nose like the Amara View Full Face CPAP Mask, DreamWear Full Face CPAP Mask or AirFit F30 Full Face CPAP Mask. https://www.cpap.co.uk/shop/cpap-mas...ral-masks.html Try to watch any fitting video and you might want to also consider a CPAP Hose Lift: https://www.cpap.co.uk/cpap-hose-lift.html The CPAP Hose Lift eliminates pulling on the mask and helps avoid getting tangled in the tube when rolling around during the night. Fewer leaks and more comfortable sleep are only a couple of the benefits the CPAP Hose Lift has to offer. If you still need to return a mask with the mask fit insurance, please use the mask fit insurance letter with the return slip and perpaid label. Please do let us know if you need any further information.

Regards,
Giny Humbles
Customer Care Team
Intus Healthcare Ltd.