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Mallampati Score
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Mallampati Score

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Introduction

The Mallampati classification was created to help you predict a difficult intubation. It’s a scoring system that ranges from 1 to 4, where 4 would be the most difficult. It accounts for different factors like the size of a persons tongue, the amount a person is able to open their mouth and ultimately estimates the available space you have for direct laryngoscopy.  

In general, class I and II Mallampati scores predict an easy laryngoscopy and intubation. Endotracheal intubation becomes more difficult as the Mallampati score increases.

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Class I

A class I Mallampati classification is when you see the 

  • soft palate
  • uvula
  • tonsillar pillars

Mallampati Class I

Class II

In a class II mallampati score you can see the

  • soft palate
  • uvula

Mallampati Class II

Class III

In a class III Mallampati score you can see the

  • soft palate
  • base of the uvula

Mallampati Class III

Class IV

In a class IV Mallampati score you can see:

  • hard palate

Mallampati Class IV

About the Author

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Improving medicine through the use of great design to create informative and entertaining medical education.
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