Sleep apnea is a health condition that affects millions of Aussies, many of whom use a CPAP (Continuous Positive Airway Pressure) machine as a form of treatment. CPAP treatment involves the use of a mask. Many patients believe they need to sleep on their back due to the size of the mask, which can be too bulky to let them comfortably sleep on their side or stomach.
The great news is manufacturers have come up with a range of CPAP mask designs that vary in size and style. While some CPAP patients must use a specific mask type, others are free to choose a mask based on their sleep position. Before I introduce you to the different types of CPAP masks available, I want you to understand that it’s crucial that you follow the advice of your sleep specialist when choosing a CPAP mask.
Before you switch between mask types, ask them whether the model you are considering is a good fit for you. Each mask type is designed the way it is for a reason, and not all designs are suitable for all CPAP users.
Different Types of CPAP Masks
The three most common CPAP mask types are the full-face mask, nasal mask, and nasal pillow mask. Full face masks cover both the nose and the moth, making them the bulkiest. Nasal masks cover only the nose. The pillows masks cover only the nostrils and don’t have a hard shell, making them the least obtrusive.
Considering the fact that CPAP masks require a tight seal to avoid air leaks, sleeping in a way that presses on the mask can lead to more than discomfort – it can also compromise the treatment’s efficacy. Masks that have hard plastic buckles or stiff anchor straps can also interfere with sleep. How do I know which CPAP mask to use then, you may ask? When choosing a mask, you need to consider not only its type but also the position you sleep in.
Nasal Pillow Masks
Let’s start with the smallest of them all – the practical nasal pillow mask. It’s often a great option for stomach sleepers. Patients who sleep on their stomachs have unique concerns when picking a CPAP mask.
That’s because this sleeping position causes most masks to press into the face, resulting in discomfort and constant air leaks. Depending on the size of the mask you choose, it may also force your head into a position that puts stress on your neck, causing next-day pain or stiffness. Due to these reasons, the majority of stomach sleepers use a pillow mask.
The low profile of these masks minimizes the chances of them becoming dislodged or causing pain, no matter your sleep position. If you decide to buy a nasal pillow mask, make sure the pillows accommodate you well. Also, know that some pillow masks have tube positioning along the temples, which can cause air restriction depending on your position as well as the firmness of your pillow.
Nasal Masks
Nasal masks are generally a good option for side sleepers as they’re less bulky than full face masks and don’t dig into the skin as much. However, if you have facial hair or wear glasses, this can interfere with their seal. Featuring a triangular design, a nasal mask covers the nose from the bridge to the upper lip area.
Most models come reinforced by an extra forehead strap that rests above the eyebrow and helps prevent air leaks. Unlike handy cpap nasal pillows that deliver airflow directly into your nostrils, nasal masks deliver airflow to your nasal area. This makes this mask a great solution for those who want a smaller mask, but don’t like airflow directly in their nostrils.
Full Face Masks
Full face masks are often recommended for back sleepers, but any mask type will work for this sleeping position. While the other two types of masks target breathing through the nose, a full-face mask delivers air through both the nose and the mouth, making it an effective solution for mouth breathers. Patients that experience regular nasal congestion, such as allergies or colds, also tend to find this type of mask a better fit for them.
However, full-face masks tend to be bulkier than both the nasal and nasal pillows masks which makes them more uncomfortable to wear. Although newer designs have a slimmer profile that allows a wider field of vision and requires less headgear, if you’re a hot sleeper constantly looking for solutions to improve the quality of your sleep this mask design may not be for you.
How Do You Know What Size CPAP Mask You Need?
CPAP masks come in a range of sizes, which can vary from brand to brand. So, it’s crucial that you try on the mask to find out if it’s the right fit for you. The majority of manufacturers offer sizing gauges for each of their mask products. This can be quite useful at determining the right mask size, although it’s not always completely accurate due to the variables of individual facial features.
Varying from petite to extra-large, many masks today come with different cushion sizes within the packaging that allows for adaptability. When you get your mask, put it on and try wearing it in different positions. Run the CPAP device while changing positions to make sure the mask stays put and there aren’t leaks. If you take the mask off and there are visible pressure marks, lose the straps to prevent headaches. If you feel your mask doesn’t fit as it should, ask your CPAP specialist to show you how to secure the perfect fit.