Hi wandafeb02
As Sleepea implies most masks leak to some extent much of the time especially if you require high air pressure.
Extremely tight could be as much a cause as a solution. Masks are not generally intended or required to be extremely tight.
If you have the opportunity to safely try out some different masks you might find a better solution but it will often come down to a compromise.
Sometimes the strap adjustments can be about shifting the leak to a point where it is less uncomfortable rather than entirely eliminating it and then there is the issue of the straps shifting around on the head.
I use a chin strap and although I do need it nowadays to help prevent mouth leaks I consider it's primary benefit to be that it prevents the mask straps from sliding around and causing excessive leaks or the loss of the mask altogether during the night.
I am a dentist working in dental sleep medicine. As I said repeatedly on this forum, masks that strap to the head for seal are inherently subject to leakage. Skin is deformable and the movement can cause loss of seal. A better approach is to use masks that are supported by the teeth. Case in point is AirWay Management's MyTapPap product. See:www.Tapintosleep.com. I am working on a version that can also seal the mouth internally to avoid leakage. My efforts have been somewhat sidelined by Covid. Arthur B. Luisi, Jr., D.M.D. The Naples Center For Dental Sleep Medicine.
I use TapPap. I am still getting adjusted to it and just received the internal mouthpiece from Dr. Luisi. The additional insert is helping as I am a mouth breather naturally but have been working to change that.
Hi, Sherry:
I'm considering ordering a TapPap, but I'm worried I'll get a swoosh of air through my mouth. I'm not a mouth breather during the day, but with the regular nasal pillows, my jaw drops open at night and I end up taking the mask off. Do you recommend the TapPap for my situation? Thanks!
Could it be that the mask isn't fitting properly? I have put on a few pounds due to being shut in.
Hello again wandafeb02,
I think many of us have added a few kilos recently. It seems to be a symptom of life in pandemic mode, or at least that's what I keep telling myself.
I suspect that you would have more issues with leaks if you lost weight because filled out the cheeks would probably give the mask a smoother surface to seal against but that's just an unfounded theory of mine as applied to oldies like myself. It might not apply to feb02.
It's possible that you are tightening the wrong straps and the top strap is sliding forward on your head while you are moving around on the pillow. Have you considered adjusting it in front of the bathroom mirror or getting your husband to adjust it for you.
You could ask your sleep clinic if it would be advisable to reduce the pressure a little and check what the maximum setting is on the machine because they sometimes seem to max out for no apparent reason and leaks are likely to make that worse.
The mask liners that Sierra mentions might be worth a try too and another suggestion that seems to help is a slippery pillowslip like the satin ones or, if you have the funds, a real silk one. They help prevent drag on the straps as you move your head around in your sleep.
Yet another potential issue is the hose itself which can pull the mask sideways and cause leaks. Some like to tuck it under the blankets somehow but I prefer mine fed through a hose stand that suspends it above my head. There may be other options that work too.