MallampatiScore

The Mallampati Score, also known as the Mallampati Classification, is a clinical tool used by healthcare professionals to assess the ease of intubation and predict potential airway management difficulties. It was introduced by Dr. Samuel Mallampati in 1985 and remains a standard part of preoperative airway evaluation.

The scoring system involves a visual examination of the oral cavity. The patient is asked to sit upright, open their mouth, and protrude their tongue without phonating. The examiner then observes the visibility of specific structures: the soft palate, the fauces (arotic pillars), the uvula, and the tonsillar pillars. Based on the structures visible, the Mallampati Score is classified into four grades:

- Class I: The soft palate, fauces, uvula, and tonsillar pillars are fully visible.

- Class II: The soft palate, fauces, and uvula are visible, but the tonsillar pillars are not.

- Class III: Only the soft palate and base of the uvula are visible.

- Class IV: Only the hard palate is visible.

These classifications help in predicting airway patency and the potential difficulty in procedures such as intubation. A higher Mallampati score (Class III or IV) suggests a more challenging airway and may warrant additional precautions or preparation. The score is used in conjunction with other assessments, such as thyromental distance and neck mobility, to provide a comprehensive evaluation.

While widely used, the Mallampati Score has limitations, including variability between observers and dependence on patient cooperation. Despite this, it remains a valuable, quick, and simple method for airway assessment in clinical practice.