Philips Respironics Nuance Pro Nasal Pillows Preview

December 22, 2016 | By Peter Stanza | Filed in: CPAP Mask Reviews.

When I first saw the Nuance and Nuance Pro from Respironics, I thought there was some chance that it could make a good nasal pillow option.

I gave it a red hot shot, and tried it with many patients.

But honestly, it’s a swing and a miss from Respironics.

Make no mistake, there are some good things about the mask, it’s just not on the same level as our first choice P10 and Swift FX Nasal Pillow Masks from ResMed.

Out of the Box

The Nuance is ready to go out of the box (assuming you need a medium cushion). The headgear is very easy to take on and off, with a tacky ‘back-strap’ to prevent the headgear slipping up through the night. Simply:

    1. Place the nasal pillows in your nose
    2. Pull the tacky backstrap over your head
    3. Adjust the tabs on the headgear to fit.

The Nasal Pillows

What makes or breaks a nasal pillow mask is the nasal pillows themselves. Everything else can be perfect, but if the nasal pillows themselves are no good, the whole mask is a failure.

Respironics Nuance Pro Cushions

The nasal pillows on the Nuance Pro are… ok.

There are some good points, and some poor ones.

The gel makes them soft on the nose, and they can be used as an option for patients with particularly sensitive noses.

IF you can get them to seal and retain the seal during the night.

The pillow itself is quite flat. They aren’t a cone shape like the ResMed Swift FX or P10 Nasal Pillow Masks. This cone shape is vital to ensure that the nasal pillows stay in place during the night.

Respironics Nuance Pro Nasal Pillow Cushion

As a result, the Nuance Pillows were prone to being pushed out of place during the night.

This was most ungood.

Vent Location and noise

The vent location points the air down, away from the user and the bed partner. Obviously it depends on the sleeping position, and which direction the hose is facing. If it faces downwards, it is away from the user and the bed partner. It’s relatively quiet, although not the quietest out there especially under higher pressures.

Respironics Nuance Pro Vent


Honestly, the construction of the Respironics headgear seem a little flimsy still. I like the tackiness on the back strap, and this would help solve a major issue with some nasal pillow users; where the headgear slips up through the night. It is easily adjustable, and the gel pads in the headgear/frame help disperse the force on the cheeks, making it more comfortable especially for anyone who likes to sleep on their side. It is light, easily adjustable, but the fabric appears to lack durability. In addition, although the tacky underside on the backstrap does help retain the headgear, it can increase the collection of

headgear for Respironics Nuance Pro

Ease of use

This mask (like most nasal pillow masks) is very easy to put on and take off. Put the nasal pillows on your nose, and pull the back strap over your head. It can be a bit of a pain to get the right adjustment for you, and to get a good seal, and it lost some points for that.

With only 3 parts, it’s easy to assemble and dissassemble. No more to say.


The headgear feels like it will fall apart with any extensive wear. Respironics just don’t seem to produce the same quality headgear as ResMed and F&P. Also, I’m not a fan of the type of velcro tabs Respironics tend to use. They tend to fold more easily than other designs and get clogged easily, affecting how well they attach to the headgear.

Parting Comments

There are better options trying first before you settle on the Respironics Nuance Pro. Honestly, I would give either ResMeds P10, Fisher and Paykels Brevida, or ResMeds Swift FX nasal pillows a go prior to trying the Nuance Pro.

It has some good features, and may be the best mask for some. But we feel that there are better options worth trying before taking the road less traveled with the Nuance Pro.

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5 comments on “Philips Respironics Nuance Pro Nasal Pillows Preview

  1. Buck says:

    Pin my tail and call me a doyekn, that really helped.

  2. Alex says:

    Alright, then do you have any suggestion for a pillows mask that does not have prongs coming inside the nostrils, like the P10 and Wift FX that you recommend? There’s the Brevida, but I tried it and could not get a good fit.

    • Peter Stanza says:

      Hi Alex,

      It’s a difficult one, and it depends on what exactly the issue is. Do you experience sore nostrils when you use these style masks, or do you simply not like the sensation?

      The Respironics DreamWear Nasal Mask comes to mind. Have you tried this one? I’ve seen reasonable results with this mask for patients who experience the above symptoms, but could not use a nasal mask for various reasons.

      Without knowing more about your particular case, it’s difficult to make an exact recommendation.

      Cheers, Pete

  3. Alex says:

    Thank you Peter, what a quick answer…
    Actually, I use the Dreamwear every night. It’s the perfect mask for me – it feels like I’m wearing nothing, the flow is great, AHI is low, seal is great too – way above anything else, but I usually sleep on my back. I was looking for a mask to wear occasionally when I sleep on the side, and to change things up a bit.

    I used the P10 and Pilairo Q for several nights – there is a burning sensation in the nostrils that made me stay away from pillows until I tried the Brevida (because there are no prongs inside the nostrils). Sadly, the Brevida is not a fit for me. The small head is too small, the medium/large, too large.

    I guess there might be no “pillows” mask option for me at this point for side sleeping, since maybe only the Nuance pro avoids the prongs inside the nostrils, but you mention that you do not like it much…

    • Peter Stanza says:

      You may be right unfortunately.

      There is nothing against you trying the Nuance Pro, it may work for you. I just found them to be considerably less stable than other nasal pillow masks on the market.

      Personally, if I was in your situation, I would be inclined to try one of the open-face nasal mask options such as the Respironics Wisp or the ResMed N20.

      Good luck, and sound sleeping.

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