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What is the point of "Nasal Masks" ?
#1
What is the point of "Nasal Masks" ?
I don't quite get the point of a nasal mask, so please help me out here. 
Everyone naturally uses both their mouths and their noses to breath in sleep or awake (why nature has equipped us with both breathing solutions ), so I don't understand why some people insist on using a nasal mask and then go taping their mouths so air can't escape .


I have tried nasal and the biggest problem with it is that as soon as I unintentionally open my mouth a bit, air starts to escape through nasal cavities and out of my mouth, making the nasal mask pointless because the machine registers each event as a "leak" (which it is) . 

This also explains why the mouth can fill up with air with a nasal mask and that's because when we sleep we can't consciously keep our nasal passage to our mouth closed at all times ( I guess it can happen with practice ) so air escapes through nasal cavity into the mouth and with the mouth all taped up, your cheeks start to fill with air and eventually you will swallow that air and it ends up in your guts and causes Aerophagia which happens when you swallow a lot of air, which ends up making you burp or pass wind frequently or it upsets your stomach.

So a face mask is the only natural solution in my opinion. Its easy to wear and you don't have to go to bed all taped up and bandaged looking like you just came out of a complicated surgery.
Personally I like the full face ones that come with a "frame". This way I don't have to deal with a "frontal tube" delivering air directly at moy mouth. A frame type full face (like a Resmed F30i or Respironics DW full face) is pleasant to wear because I don't feel the air but still, some people like the feeling of air from the CPAP hitting their mouths. I know my dog Jake likes that a lot because he loves sticking his head out the window at highway speeds. It makes him go into a trans:-)
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#2
RE: What is the point of "Nasal Masks" ?
Many people feel claustrophobic in a full face mask and many people can sleep with their mouth closed all night.  The full face mask leaks more often because the more surface area you have to keep sealed the harder it is.  Nasal masks make sense for many people.
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
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#3
RE: What is the point of "Nasal Masks" ?
I tried several full face masks & was unable to keep any of them from leaking & had a hard time sleeping with them. I now switch between the N30i & P30i; for me they work great.
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#4
RE: What is the point of "Nasal Masks" ?
I have tried many FFMs and I cannot get a good seal on any of them.  Thus I've resorted to nasal masks or pillows in order to reduce the amount of surface that has to stay sealed throughout the night. This has been a major factor in what makes my CPAP journey successful.
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#5
RE: What is the point of "Nasal Masks" ?
Actually, a healthier person, such as one that doesn't have restricted nasal passages, will breathe by way of nose only. I forget what the study was exactly about, but the idea was that it was found that nasal breathing promotes healthier attributes.

Pillows masks introduce the airflow directly to the nostrils, while nasal masks are closely behind. Full face introduces the airflow to your facial area, not directly to either nose or mouth.

I myself breathe via mouth and nose because of COPD obstructions. I need to have more inlet area, so I breathe through both frequently. But this isn't the normal healthier way.
Dave

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#6
RE: What is the point of "Nasal Masks" ?
What works for some is an utter failure for others. Thank goodness and be thankful there is a large selection of masks to choose from.
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#7
RE: What is the point of "Nasal Masks" ?
Well, I come to find out that I benefit significantly from the right mask, which happens to be nasal. Low AHI, FL, centrals, no chin-tuck (OA clusters), and don't have to wear wide cervical collars that aggravate TMJ. These reasons makes it easier to go nasal.

For me, exploring various masks was definitely worthwhile.

If I had to tape my mouth, I would cut a small slit or get a battery backup just in case of power failure. I would be concerned about that.
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#8
RE: What is the point of "Nasal Masks" ?
I was always a mouth breather until cpap. Since this was a wake up call for my health, after some research, I learned breathing through nose is the ticket (health wise) So I trained myself to breath
through the nose. Well worth the effort!
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#9
RE: What is the point of "Nasal Masks" ?
The best mask for you is the one that works.

I do recommend tryin masks from the smallest, least intrusive Pillow masks to the largest the Full Face Masks. Others recommend the other order.
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#10
RE: What is the point of "Nasal Masks" ?
I tried a number of different masks during my trial period. I started with a full face mask. At that point the machine was set to 4-20 cmH20, and the pressure was averaging 15-17 each night. I didn't like the FFM. It felt like it was actually pushing my mouth open. Next I tried an N20 nasal mask. As soon as I switched there was a noticeable drop in my average pressure, and it dropped again when I switched to pillows. That's not to say I haven't had any issues with the pillows. But it is definitely the right style for me.

-Neelix
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