CPAP or continuous positive airway pressure masks and headgear are not something you get used to overnight, or over several nights. Alternatives to full face masks are coming into the market every day as more and more CPAP machines sit at the bedside unused. Even after desensitizing, a full-face mask is difficult to get used to. According to the Mayo Clinic, as new nasal pillows and prongs with lighter and less restrictive headgear become available, more and more users are finding a size and style that they can live with.
Nasal Pillow with Side Straps
A nasal pillow rests beneath the nose and on the upper lip and against the nares to force air into the nostrils without covering the entire face. Straps run from the mask to above the ears and across the top of the head to the base of the neck to hold the nasal pillow in place. To hold the mouth closed, a chin strap can be added. A nasal pillow is an excellent alternative for individuals who are claustrophobic and cannot tolerate a full or half face mask. It is also an excellent alternative for individuals who use CPAP while watching TV or reading. This mask works well for individuals who sleep on their back.
Nasal Pillow Ball-Cap Style
This nasal pillow covers the entire nose resting against the face. A second piece to the mask rests against the forehead while the straps run from the piece against the forehead to above the ears to the top of the head and to the base of the neck. The top piece adjusts up and down according to preference. The ball cap strap assembly keeps the nasal pillow in place. This mask works well for stomach sleepers as there are no side straps running across your face.
Nasal Cushion and Side Straps
For individuals who need higher pressures, the nasal cushion provides a firmer seal around the face, preventing the pressure from dislodging the mask from the face. This mask covers the entire nose and rests against the face. Side straps running across your face and forehead to the back of your head keep the mask in place. This mask is also ideal for individuals who move a lot in while sleeping, as the headgear is much more flexible.
Nasal Prongs
The nasal prongs seals inside the nares without a mask resting against your face. The prongs stay in place by a strap that circles the crown of the head and holds each end of the prongs just above the ears. The nasal prongs are lightweight and the least restrictive of CPAP equipment. The downside is irritation to the inside of the nares from constant pressure. Using a nose lubricant will minimize the irritation.
Alternatives to a Full Face Mask
The full-face mask is a key reason why CPAP users stop using their machines, which is why so many alternatives are becoming available. In addition to the nasal pillows and nasal prongs, CPAP clinics suggest using a CPAP pillow in place of your standard pillow. The CPAP pillow minimizes contact of the face gear and air hose with the pillow.


