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Obstructive sleep apnea (OSA) is a sleep disorder that affects an estimated 10% to 30% of adults in the United States. People with OSA stop breathing for brief intervals while sleeping due to blocked airways. When left untreated, OSA can lead to serious health consequences like cardiovascular disease, stroke, high blood pressure, type 2 diabetes, and depression.

Continuous positive airway therapy (CPAP) is the preferred treatment for OSA. CPAP machines deliver pressurized air through a hose and mask to keep a person’s upper airway open.

For individuals who need CPAP therapy and breathe through their mouth, a doctor may recommend a hybrid CPAP mask. Unlike a nasal pillow or nasal mask that only delivers air to the nose, a hybrid mask seals both the nose and mouth. Hybrids are also less bulky than traditional full-face CPAP masks and typically only cover part of the nose.

We’ll discuss who can benefit from a hybrid CPAP mask and how to choose a model that’s right for your needs. We’ll also cover care guidelines and how to properly fit your mask.

In-Depth Reviews

  • Pros

    1. Slimmer profile and fewer contact points than many competing full-face masks

    2. Top-of-head tubing allows you to sleep in any position

    3. Multiple frame and cushion sizes

  • Cons

    1. May not be necessary for people who require low levels during CPAP

    2. May not be necessary for people who require low levels during CPAP

Price

$159

The ResMed AirFit F30i’s hybrid design is lighter and less intrusive than many other full-face CPAP masks on the market. Featuring straps that make minimal contact with your face and top-of-the-head tubing that allows you to sleep in any position without tangling your hose and compromising airflow, the mask is a comfortable option for anyone who requires high pressure settings for their CPAP therapy.

The mask’s cushion is made of soft silicone with a nasal cradle that gently rests beneath the bottom of your nose and won’t irritate your skin. Hook-and-loop closures allow you to easily adjust the straps for a secure – yet not overly tight – fit. The top-of-head port has a quick-release elbow for easy assembly and disassembly.

You can choose from small, standard, and large sizes for the mask’s frame. The cushions are also available in small, small wide, medium, and wide sizes. ResMed’s virtual sizing chart allows you to determine which frame and cushion sizes are best suited to your facial dimensions.

The ResMed AirFit F30i Full Face Mask is competitively priced. Sleep Doctor offers free ground shipping for customers in the contiguous U.S., and you may return the mask unopened and unused for a refund within 60 nights of the delivery date.

Disclaimer: In November 2023, ResMed issued a safety notice cautioning that the magnetic clips on this model and other ResMed masks should be kept at least 6 inches away from any implanted medical device that may be affected by magnets, including pacemakers and insulin pumps. The company also warns that other metallic implants such as valves, stents, and certain dental implants may be impacted by the magnetic clips.

  • Pros

    1. Low-profile design with under-the-nose seal is ideal for people with glasses

    2. Three cushion sizes, all of which are included with purchase

    3. VentiCool technology designed to promote breathability and moisture control

  • Cons

    1. Mask is fairly bulky and not a good match for claustrophobic people

    2. Some users with facial hair report frequent air leaks

Price

$149

While we don’t recommend spending as little as possible on a hybrid CPAP mask, it’s worth noting that some masks carry more approachable price-points than others without sacrificing quality or performance. The Fisher & Paykel Evora is a prime example. This compact full-face mask features a cushy silicone cushion that rests comfortably beneath your nose and forms a secure seal around your mouth. Three cushion sizes are available – and with this fit back, you’ll have the opportunity to try out each one.

The straps fit snugly around the side of your jaw and the back of your head, and can be easily adjusted for a comfortable fit. One notable feature is the VentiCool technology in the headgear, which allows for extra airflow and helps prevent moisture from building on your skin around the straps’ contact points. The mask is also designed to reduce noise for a quieter CPAP delivery.

You can choose from extra small, small-medium, and large cushion sizes. We recommend testing each one to see which feels most comfortable and secure – some trial and error may be needed. Since the headgear does not include any magnetic clips, this mask is suitable for people with pacemakers and other medical implants who shouldn’t use masks with magnetic components.

The Fisher & Paykel Evora Full Compact Face Mask Fit Pack carries a reasonable sticker price, and standard ground shipping is available for all customers in the contiguous U.S. Returns are allowed within 60 days, provided the mask has not been used or removed from its original packaging.

  • Pros

    1. Slim, lightweight profile feels less intrusive than the average full-face mask

    2. Full line-of-sight for people who wear glasses

    3. Top-of-head tubing allows you to change positions with ease

  • Cons

    1. Only one frame size

    2. Magnetic clips make the mask not suitable for people with pacemakers and other certain medical implants

Price

$169

Combination sleepers often have a tough time with CPAP therapy because switching between your side and back can cause the connective tubing to pinch, which in turn can lead to air leaks and loss of pressure. The DreamWear Full Face Mask from Philips Respironics features a top-of-the-head port, so the tubing isn’t connected to the bottom of your mask. This allows you to change positions without the tubing getting in the way or being compromised.

The mask’s hybrid design includes a cushion that covers your entire mouth and rests at the bottom of your nose. Soft silicone helps ensure minimal redness or irritation around the points of contact. The fit pack includes cushion sizes of small, medium, medium-wide, and large. We recommend testing out each one to find your ideal fit. All orders include a medium frame with a thin profile, so people who wear glasses shouldn’t have any issues with the mask as long as it fits comfortably snug.

One thing to keep in mind about the mask is that the straps have magnetic clips. This makes them easier to attach and remove. However, people with pacemakers and other types of medical implants should check with their doctor before using this mask, as the magnets can pose certain health risks.

If you order the Philips Respironics DreamWear Full Face Mask Fit Pack through Sleep Doctor and reside in the contiguous U.S., your standard ground shipping is free of charge. Returns may be initiated within 60 days of the delivery date as long as the mask has not been used or removed from its box.

Disclaimer: On 9/6/2022, the FDA issued a voluntary recall of this product to alert customers that the magnetic clips may interfere with the performance of certain metallic medical devices. Patients should not use this mask if they or someone close by has any of these devices implanted in their body.

  • Pros

    1. Silicone cushion rests comfortably beneath your nose

    2. Flexible top-of-head tubing is ideal for combination sleepers

    3. Frame available in standard and large frame sizes

  • Cons

    1. No small size available for the frame

    2. Sticker price is on the expensive side

Price

$250

If you’re new to CPAP therapy, finding the right CPAP mask can take a fair amount of trial and error. The ResMed AirFit X30i is a good starting point. Available in two frame sizes, this hybrid mask offers the secure seal and strong pressure delivery of a traditional full-face model without covering your nose. A silicon cushion feels gentle against the skin, so redness or irritation shouldn’t be issues while you’re wearing the mask.

The flexible silicone straps can be adjusted for an ideal fit, while magnetic clips allow you to quickly assemble and disassemble the mask. That said, people with pacemakers and other medical implants should consult a doctor before choosing a mask with magnetic parts. Top-of-the-head tubing is another important feature, since it allows you to switch between the side and back sleeping positions without compromising airflow or causing leaks to occur.

Standard and frame sizes are available. If you aren’t sure which size will fit best, check out ResMed’s online sizing chart before buying the mask. Sleep Doctor offers free ground shipping within the contiguous U.S. You may return the mask for a refund within 60 days of receipt, provided it hasn’t been used or removed from its original packaging.

Disclaimer: This product contains magnets, and may not be suitable for people with pacemakers and other medical implants. Please refer to ResMed’s support documentation on this matter and talk to your doctor before using the ResMed AirFit X30i.

What Is a Hybrid CPAP Mask?

A hybrid CPAP mask seals both the nostrils and mouth. Nasal masks and nasal pillow masks only seal the nose, making hybrid masks a better option for mouth breathers who find standard full-face masks claustrophobic or obtrusive.

Unlike full-face masks, which generally extend up to the bridge of the nose, hybrids typically only cover the lower part of the nose. Many hybrid CPAP masks include nasal pillows, while some rest just below the nose and seal around the nostrils without making contact with the bridge of the nose.

Who’s a Good Fit for a Hybrid CPAP Mask?

Since a hybrid CPAP mask delivers pressurized air to both the nose and mouth, it can be an effective choice for people with sleep apnea who breathe through their mouth. Hybrid masks can also be effective for people who want the benefits of oronasal CPAP therapy but don’t like the bulkier fit of standard full-face masks.

However, not everyone is a good candidate for this mask style. Some people may want to explore the pros and cons of other CPAP masks before deciding if a hybrid CPAP mask is the right fit for their needs.

Who it’s best for:Considerations:
  • Mouth breathers
  • Those who find standard full-face masks claustrophobic
  • People who read or watch TV in bed Individuals who wear glasses
  • Certain designs might interfere with side and stomach sleeping
  • May not be suitable for people who frequently toss and turn in their sleep
  • Models with nasal pillows may be uncomfortable for people who require high CPAP pressure settings

How to Choose a Hybrid CPAP Mask

Finding the best hybrid CPAP mask for your needs is crucial to successful therapy. An ill-fitting mask can result in air leaks, and an uncomfortable mask can lead to poor therapy compliance.

Along with comfort and fit, shoppers should consider factors like price, pressure needs, and material quality when choosing a mask.

What to Consider When Purchasing a Hybrid CPAP Mask

Choosing between different mask options can be an overwhelming process. Marketing terms can sometimes be misleading, which can further confuse shoppers. CPAP users should focus on important factors like sleep position, machine compatibility, materials, and ease of cleaning when determining which mask is the best fit for them.

Price

The typical hybrid mask costs between $75 and $250. Prices vary according to the manufacturer, material quality, comfort features, and accessories. A mask that includes multiple nasal pillow sizes, for example, generally costs more than a model with just one size.

Some insurance plans cover the cost of CPAP masks, so shoppers should check with their provider before making a purchase.

Size and Fit

A properly fitting mask is key to preventing air leaks and pressure loss from the nose and mouth. Users are also less likely to adhere to therapy if a mask is uncomfortable. Hybrid masks have a lower profile than most full-face masks, but an ill-fitting design can still create pressure points.

Most masks, mouth cushions, and nasal pillows come in multiple sizes. Manufacturers typically list dimensions online or on the packaging to help shoppers determine the right fit.

Some models include interchangeable pillow sizes in case one nostril is larger than the other, and adjustable headgear allows users to personalize the mask fit. Most manufacturers caution against overtightening the straps, as this can contribute to air leaks and pressure marks.

Compatibility

Hybrid CPAP masks typically work with most CPAP machines, but shoppers should check product compatibility before purchasing their mask, as models can have varying air pressure requirements.

It’s important to make sure that your mask meets the pressure needs prescribed by your doctor. While full-face masks are often recommended for people who need high CPAP pressure settings, the more direct airflow of hybrid masks that include nasal pillows may be uncomfortable for some users.

Sleep Position

A CPAP mask that comfortably accommodates your sleep position improves therapy compliance. While most hybrid masks are less invasive than full-face masks, some models feature a more minimal design than others.

Side and stomach sleepers generally require a low-profile design that’s less likely to interfere with their bed pillow. Back sleepers can usually sleep comfortably with a larger mask, while combination sleepers often benefit from a low-profile hybrid design with flexible tubing that adjusts with movement.

Comfort

Mask comfort is crucial to CPAP therapy adherence. Users should consider how soft and flexible the materials are and where the headgear and straps are placed to ensure they can sleep comfortably with the mask.

CPAP Pillow

A CPAP pillow features contours or cutouts that allow sleepers to comfortably sleep with a CPAP mask. CPAP pillows come in different shapes and sizes to suit different sleep positions and mask types. Some pillows are designed for side sleepers and prevent masks from digging into the face. Other pillows are intended to stabilize a mask, particularly for high-movement sleepers.

Quality Materials

Masks made with quality materials generally last longer and perform better. Mouth cushions and nasal pillows made from pliable materials like silicone are usually more comfortable than rigid plastics. Similarly, soft and flexible fabric headgear is less likely to dig into the face than stiff or cheaper materials.

Cleaning and Care

CPAP users should refer to the product manual before cleaning their mask, as guidelines vary according to model. That said, most CPAP components should be hand-washed at least once a week using warm water and mild soap. This includes mask frames, cushions, nasal pillows, and CPAP hoses.

All accessories should be fully rinsed and air dried prior to use. Mask cushions and nasal pillows should also be cleaned daily with a CPAP wipe or a damp cloth and mild soap.

Frequently Asked Questions

How do you fit a hybrid CPAP mask?

Place the headgear over your head and gently rest the mask over your mouth and beneath your nose.
If applicable, insert the nasal pillows into your nostrils.
Fasten the headgear.
Adjust the straps until the mask feels secure.
The mask should be secure but not so tight that it digs into your face.
If the mask includes nasal pillows, make sure they are evenly aligned after adjusting the straps.

Should your CPAP mask fit tightly?

A tighter mask fit does not always lead to effective therapy. A mask that is either too loose or too tight can cause air leaks. A snug fit is needed to prevent pressure loss, but a mask shouldn’t press deeply into your face.

Do hybrid CPAP masks work if you breathe through your mouth?

Hybrid CPAP masks are generally suitable if you breathe through your mouth since they create a seal over both the nose and mouth. Some designs have built-in chin straps to gently keep the mouth closed. Hybrid masks are also generally appropriate for people who alternate between nasal and mouth breathing.

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