Mallampati classification


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Related to Mallampati classification: ASA classification

Mallampati classification

(ma-lam-pot′ē)
A four-point scale used to assess the relative ease of oral (endotracheal) intubation of a patient based on the size and position of the tongue relative to the size of the pharyngeal opening. The patient should be assessed in the sitting position, with the neck in neutral position, the mouth maximally opened, and the tongue protruded as far as possible. The four classifications of the scale are: 1.full visibility of the soft palate, uvula, tonsillar pillars, and fauces; 2.visibility of the soft palate and part of the pendant uvula; 3.visibility of the soft palate and only the base of the uvula; and 4.visibility of only the hard palate.
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The reliability and validity of uppper lip bite test with the Mallampati classification to predict difficult laryngoscopy: an external prospective evaluation.
Inter-Rater Reliability of the Mallampati Classification for Patients in a Dental Hygiene Clinic.
Comparison of upper lip bite test and modified Mallampati classification in predicting difficult intubation.
The reliability and validity of the upper lip bite test with Mallampati classification to predict difficult laryngoscopy: An external prospective evaluation.
Oropharyngeal crowding among respondents was graded using the Mallampati classification. Insomnia was more prevalent among respondents in classes 3 and 4.
The question being asked by the researchers was two-fold: Would obese (high BMI) children with OSA compared to non-obese (normal BMI) children with OSA have less adenotonsillar hypertrophy and a higher Mallampati classification score?
If the Mallampati classification or other preoperative evaluation methods are not possible, a careful assessment of abnormal anatomic conditions of the head and neck is a sufficient basis for choosing FFB-guided intubation, to avoid unnecessary risks to the patient.
Prediction of ease of laryngoscopy and intubation-role of upper lip bite test, modified mallampati classification, and thyromental distance in various combination.
Unfortunately, despite predictive tests such as the Mallampati classification, mouth opening and thyromental distance, no single factor reliably predicts these difficulties.
The patient's Mallampati classification was Grade IV, and his clinical presentation is shown in [Figure 1].{Figure 1}
In our study it was observed that Mallampati classification is a sensitive classification to predict difficult tracheal intubation.