Abstract: A device for securing a respiratory appliance during respiratory therapy having a head covering made of a material which conforms to the shape of the patient's head, and two elongated thread-like members positioned on opposite sides of the head covering at points which approximately correspond to the temporal areas of the patient's head, the thread-like members being adjustable to vary the distance between the respiratory appliance and the head covering so that the respiratory appliance is securely positioned within the patient's nares.