I recently began attempting to find a new mask style, one that didn’t have as bad a problem with leakage - having been alternating between the Swift FX nasal pillows (and arguing with DME providers who have several times sent me the “for her” version, which DOES NOT FIT MY HEAD), and the Pilairo. The Swift FX is about as lightweight as you can get, very comfortable, but very easy to dislodge. The Pilairo is fairly comfy, but the way it wraps around the nose (admittedly just a soft silicone cushion) can become annoying.
And my leak rate is higher than ideal.
So the first attempt at the clinic was a nasal mask - but to keep it from leaking, it had to be too tight. Then I tried this one:
Which is generally fairly comfy, though every now and then it just won’t seat quite right and becomes annoying. Also, because there’s nothing that even remotely pokes into the nostril - your nose is literally just resting on top of it - it’s hard to imagine how it would EVER get a decent seal.
It’s one of those with the hose on the top - and the headgear is mostly open tubes that connect to the pillows. Strange, but not uncomfortable, though it’s taken me a few days to get used to the trick of putting it on. Having the hose at the top is just weird as hell to me. Supposedly there are a lot of people who swear by that, that it keeps the hose out of the way, but personally I think if we didn’t have a headboard to drape the tubing over, I’d loathe it. All in all, I can deal with it, but it’s not a selling point.
The dealbreakers: 1) it isn’t helping my leak rate at all (weirdly though, despite the leakage, my AHI has always been decent, though I have to assume that’s skewed by the leaks). 2) As I was waking up this morning, I was having a bit of trouble breathing. I could - but with more effort than usual. Turns out, the mask had gotten slightly dislodged - and due to the design, it basically slid a bit out of position and was partially blocking my nostrils. Nope, nope, nope.
So the search continues: First suggestion was one that has a somewhat hard plastic frame to hold the cushion - I noped right out of that option, as I’m a side sleeper and it looked hideously uncomfortable.
He’s doing to try get me a sample of another one, the Nuance Pro.
All in all, I suspect that something with a hard frame will allow a nasal cushion to stay in place without pressing as hard on the nostrils, while soft headgear will win in terms of comfort. I once tried a style with a frame, and found that it tried holding the pillow at the wrong angle for my nose - I think the bottom of my nose is more horizontal while the thing was designed for someone with a bit of a tilt.