Mallampati score

Mallampati Score is a classification system used in anesthesiology to predict the ease of endotracheal intubation. It was first described by Seshagiri Mallampati and his colleagues in 1985. The score is determined by the visibility of the base of uvula, faucial pillars and soft palate when the patient opens his or her mouth and protrudes the tongue.

Mallampati

Classification

The Mallampati Score is classified into four classes:

• Class I: Soft palate, fauces, uvula, pillars visible
• Class II: Soft palate, fauces, uvula visible
• Class III: Soft palate, base of uvula visible
• Class IV: Only hard palate visible

Clinical Significance

The Mallampati Score is used to predict the difficulty of endotracheal intubation. A higher score (Class III or IV) indicates a potentially difficult intubation. This can help anesthesiologists prepare for potential complications during intubation.

Limitations

While the Mallampati Score is widely used, it has its limitations. It is subjective and can vary based on the examiner's interpretation. Additionally, it does not take into account other factors that can influence intubation difficulty, such as patient's neck mobility or the presence of teeth.

See Also

• Anesthesiology
• Endotracheal intubation
• Faucial pillars
• Soft palate
• Uvula

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