Treatment of Obstructive Sleep Apnea: Choosing the Best Interface

Sleep Med Clin. 2020 Jun;15(2):219-225. doi: 10.1016/j.jsmc.2020.02.008.


Patient interface preference is a key factor in positive airway pressure compliance. Local side effects are common. Proper mask fitting and patient education are important. Masks should seal well and fit comfortably. Nasal, nasal pillow, and oronasal masks can be effective interfaces. Most patients with obstructive sleep apnea prefer a nasal mask. Oronasal masks can be a useful alternative. Nasal pillows can reduce mask size and improve comfort. Oronasal masks may require a higher pressure. A significantly lower pressure may be effective with a nasal interface. Proper mask fitting requires testing the mask seal under the treatment pressure.

Keywords: CPAP interface; Mask fitting; Mask leak; Nasal mask; OSA; PAP compliance; PAP initiation.

Publication types

  • Review

MeSH terms

  • Humans
  • Masks*
  • Patient Compliance*
  • Positive-Pressure Respiration / instrumentation*
  • Sleep Apnea, Obstructive / therapy*