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CPAP issues - Operation to resolve blocked tear duct

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Chameleon67 +0 points · 11 days ago Original Poster

I have just had a CPAP machine for 2 days, unfortunately I think I am going have a major problem using it. I had an operation a few years ago to resolve a blocked tear duct, this involved creating a bypass (effectively I now have a hole in the bone of my nose). The air pressure and tears are blowing straight up into my eye, sorry for the full description!! I am really hoping someone has had the same operation and issue and can guide on how you managed to resolve this. I am trying a new machine today with warm air and humidifier. also lowering air pressure but I am not confident at all this will work. Many thanks

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Sierra +0 points · 10 days ago Sleep Patron

I found this information on line, and success in using a CPAP after dacryocystorhinostomy appears to be poor.

https://pubmed.ncbi.nlm.nih.gov/25495401/

You may want to see a dentist about a mandibular advancement device (MAD). It could be more suitable in controlling apnea in your situation.

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Chameleon67 +0 points · 6 days ago Original Poster

Thank you very much for taking the time to reply, much appreciated. The advice I had from my Sleep Centre was the MAD was not very effective if you have severe OSA, willing to try all options though. I have a new face mask, although my eye is now watering it is so far workable, but will be getting advice if this has any risk of long term damage to my eye. Was not very confident when clinician said in 14 years he had not come across the tear duct and OSA case! I think I need a few second opinions.

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Sierra +0 points · 6 days ago Sleep Patron

You may want to respond to one of the posts below started by SleepDent who is a dentist that specializes in MAD devices. He may be able to give you some advice as to what might work best for you. Perhaps respond to this one and he should get notified that there is a question.

https://myapnea.org/forum/which-oral-sleep-apnea-appliance-is-best

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