Best CPAP Masks of 2023 – Our Complete Guide

Important Information About Sleep Apnea Masks

What Is a CPAP?

CPAP stands for “continuous positive airway pressure” and is a type of therapy that is commonly used to treat obstructive sleep apnea (OSA). The CPAP machine is a box that is usually small enough to sit on a dresser or nightstand beside the bed. Many have built-in or attachable humidifiers to moisten the air and filters to remove unwanted contaminants.

Pressurized air is delivered through a flexible tube that is attached to a nasal or oral mask. The specific settings are determined by a physician or other trained clinician during a sleep study and require a prescription.

How Does It Work?

The CPAP machine has a small generator and fan that pulls air from the room, filtering and sometimes adding humidification. The generator pressurizes the air based on the prescribed settings. The air is pushed through a long tube that attaches to a facial piece.

OSA is a condition that causes multiple periods of apnea during the night when the airway is blocked and individuals periodically stop breathing. Snoring and pauses in breathing overnight are two of the hallmark signs. The forced air pressure from the CPAP machine helps to maintain an open airway, preventing episodes of apnea during sleep.

Types Of CPAP Masks

CPAP masks come in a variety of styles but generally fall into the following three categories: full face, nasal, and nasal pillow. Full face designs extend from the forehead to the chin, covering the nose and mouth. Nasal pillows concentrate airflow through the nostrils and nasal masks direct air to the base of the nose.

Full Face

If you require higher pressure settings or breathe through your mouth, a full face design may be recommended. These are usually larger than nasal options, and cover the entire face including the mouth and nose. Having a larger surface area means that greater pressure can be delivered without irritating the eyes or airways.

Full face frames extend around the perimeter of the face, which is a less sensitive area for many people. Many claustrophobic individuals actually prefer full face masks because they only touch the outside of the face and make no direct contact with the airways.

Nasal Mask

Nasal frames sit on the face around the nose and are held in place by headgear (stretchy straps that go around the head). These designs come in several shapes and sizes.

• Nasal Pillow:
  A nasal pillow has a small cushion that creates a seal at the base of the nostrils. This is one of the least invasive frames available, making it a popular choice. There is very little contact with the face and no obstruction of view, so you can continue to enjoy activities like reading or watching TV before bed.Tossing and turning shouldn’t be an issue since this design creates a tight seal and isn’t prone to leaks. Nasal pillows are a good option for nose breathers and anyone with facial hair that prevents other types of masks from staying in place.

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• Nasal Prong:
  Nasal prongs are similar to nasal pillows, but they rest deeper inside the nostrils and inflate to create a tight seal. They are a lightweight and nonrestrictive option for active sleepers. Headgear is worn around the crown of the head and forehead to keep the prongs in place.Nasal prongs are generally used alongside heated humidification to prevent irritation and dryness in the nostrils. Since air is delivered through smaller prongs, higher pressure settings are not usually recommended. Nasal prongs are commonly used for infants.

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• Nasal Cradle:
  A Nasal Cradle is a curved cushion that sits just underneath the base of the nose, providing a comfortable and discreet seal. Unlike other types, this nasal frame doesn’t have to be inserted into the nose. Most models have headgear that sits on top of the head, giving the user the freedom to sleep in any position.This minimalist design leaves the majority of the face and nose clear, so there is very little restriction of movement and activities. Nasal cradles offer a gentle, non-intrusive way to receive CPAP therapy.

Parts of A CPAP Mask

Headgear

Nasal and full-face frames are held in place by stretchy traps known as ‘headgear’. Straps may be fabric-based with elastic inside or silicone. Masks may have a single strap that wraps around the back of the head or multiple straps that join together at the crown.

The straps are also how you can adjust the fit to create a comfortable but effective seal. Most have buckles, clips, or hook-and-loop closures so you can quickly and easily put the mask on/off.

Mask Frame

The frame is the main component of the mask and is what makes direct contact with the nose or face. This is where the air is delivered to and is held in place by headgear. Most frames have cushioning that is built-in or can be attached to improve comfort.

Mask Cushion

In order to prevent leaks, the frame needs to create a tight seal over the face or nose. This can lead to irritation or pressure sores where the frame and skin make contact. The cushion helps to minimize pressure and increase comfort by creating a soft barrier.

Tubing/Hose

The tubing is what connects the main CPAP box to the frame. Standard tubing is usually 6-feet long to allow enough room for movement during sleep. Longer hoses can be purchased separately and may have extra features like copper for heating.

Key Factors to Consider Before Buying

Price

Your budget may be an important factor when you are purchasing a mask. Most options range in price from $60 up to $150, with full face frames being the most expensive. Some models come with extra cushions in various sizes or for replacement, adding extra value.

Size, Compatibility, and Comfort

CPAP masks come in various sizes to fit the varying face structures and shapes. Some models come with multiple cushion sizes, giving users ample flexibility to find the right fit. Many companies now offer specialty options designed in smaller frames for females or children.

Comfort is very important when it comes to choosing a frame and could determine how likely you are to stick with your therapy. Some models have added features to enhance comfort like extra padding and softer materials. Facial hair, dentures, and eyeglasses are all factors that may influence which option works best for you.

Weight of Mask

CPAP masks are generally all very lightweight, but full face frames tend to be the heaviest. Headgear that is made of silicone may add extra weight versus fabric straps.

Replaceable Cushions

Many frames feature detachable cushions that can easily be swapped out for different sizes or replaced over time. Most cushions should be replaced every few months or when they start to show signs of wear and tear.

Construction Materials

The majority of CPAP frames on the market today are latex-free and made from silicone-based materials. Many models have removable cushions that are made from cloth, gel, or foam. The straps may also be silicone-based or made from a stretchy fabric material with elastic inside.

Pressure Settings

The pressure settings are determined by your physician and are generally included in the prescription. Higher pressure settings can cause irritation to the nose, so full-face designs are often recommended. Nasal frames work well with low to moderate pressure settings, although some have been specifically designed to work well at higher settings too.

Stuffy Nose or Nasal Congestion

If you frequently experience a stuffy nose or nasal congestion, CPAP therapy that is delivered through a nasal frame may not be the best option. In order to be effective, nasal frames require clear passages. Full face frames deliver air through both the mouth and nose and are a good option if nasal passages are blocked or congested.

Warranty

Most frames come with a limited manufacturer’s warranty that will replace or repair any defective parts free of charge. These warranties are generally 90 days long, although some companies may offer extended warranties up to 2 years. The headgear may be included or in some cases has its own separate warranty.

Maintenance

The mask should be cleaned by hand daily using a mild pure soap (avoid using harsh soaps, chlorine bleach, antibacterial or alcohol-based solutions). The mask and headgear should also be hand-washed once a week using the same approach. Removing make-up at night and placing the mask on a clean face will help to improve longevity.

Frequently Asked Questions about CPAP Masks

How long does it take to get used to it?

If you are brand new to CPAP therapy, it may take some time to adjust. The adjustment period will be different for everyone, but having a proper fitting mask is the most important element in improving comfort. Trying out several styles to see what feels best can be helpful.

Try setting small goals, like wearing your CPAP for just a few minutes while reading or watching television before bed. Gradually build on this time until you reach your goal. It also helps to focus on the benefits of therapy, like increased energy during the day.

What are the side effects of using one?

Some of the most common side effects to be aware of are pressure sores, skin and eye irritation, and dry nose or mouth. Using humidified air and ensuring a proper fit are the best ways to prevent these complications. If needed, saline drops can also help to alleviate dryness in the eyes and nose.

During the adjustment period, it may be more difficult to fall and stay asleep. Over time, sleep should improve as you continue to use CPAP therapy and you may even find you wake feeling more rested and energetic than before.