A patient interface device (10, 10&prime；, 62, 62&prime；, 102, 152, 162, 172) is provided that includes a patient sealing assembly (12, 64, 104), such as a mask having a rigid shell and a cushion coupled to the rigid shell, a forehead support (26, 72, 118) coupled to the patient sealing assembly, and a hinge assembly (40, 40&prime；, 84, 84&prime；, 124, 154, 164, 174) provided between a top portion of the patient sealing assembly and the forehead support.
