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I'd like to hear from anyone who has severe OSA but cannot use CPAP. I am in that percentage of severe OSA sufferers who cannot sleep with the CPAP machine no matter what options/settings/masks are tried. In 2015, I was referred to a ENT group that specializes in sleep disorder surgeries, and a doctor here in Chicago performed palate surgery and a septoplasty which reduced my AHI from 58 to 44. I was also fitted for an oral appliance after the surgery, and that did not offer any additional relief. Now I am stuck with no other options and still suffering with woefully inadequate sleep every night. Is there anyone in a similar situation who has found a remedy that at least slightly improved their sleep? The same doctor who performed my surgeries in 2015 suggested Hyoid Suspension surgery as a final surgical alternative, but he said the success rate is only 50%. I'd like to see if there are any other alternatives out there or suggestions from any doctors who may be reading this before going through another painful surgery with a limited success rate. BTW, my claim to have the Inspire device implanted has already been turned down by my insurance company because I have extensive lateral wall collapse which makes me a less than ideal candidate for the device.