Question

Modified MallamPati grading is used in assessment of

• A. Difficult intubation
• B. Airway obstruction
• C. Death due to aspiration
• D. Intubation

Answer 1

The Correct Option is A

Modified Mallampati grading is utilized in the evaluation and prediction of difficult intubation. This system is essential in anesthesia as it helps assess the visibility of oropharyngeal structures, which is critical for anticipating potential challenges during intubation procedures.

The grading involves the patient sitting upright, opening their mouth maximally, and protruding their tongue as much as possible. The examiner then inspects the visibility of the following anatomical structures:

1. Soft palate
2. Uvula
3. Fauces
4. Anterior and posterior pillars

The Modified Mallampati classification divides the visibility into four classes:

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

A higher Mallampati score (Class III or IV) suggests a higher likelihood of encountering difficulties during intubation, prompting the anesthesiologist to prepare appropriately with alternative airway management strategies.