A. Stages of Anesthesia
B. Stage of Oral Carcinoma
C. Grading of Trismus
D. Ease of intubation
Ans:D. Ease of intubation
Modified Mallampattic Classification is shown in the image.
Modified Mallampati classification
- In Anesthesia, the Mallampati classification, is used to predict the ease of endotracheal intubation.
- The test comprises a visual assessment of the distance from the tongue base to the roof of the mouth, and therefore the amount of space in which there is to work.
- It is an indirect way of assessing how difficult an intubation will be; this is more definitively scored using the Cormack-Lehane classification system, which describes what is actually seen using direct laryngoscopy during the intubation process itself.
- A high Mallampati score (class 3 or 4) is associated with more difficult intubation as well as a higher incidence of sleep apnea.
- Modified Mallampati score is a good predictor of difficult direct laryngoscopy and intubation, but poor at predicting difficult bag mask ventilation.
- The score is assessed by asking the patient, in a sitting posture, to open his or her mouth and to protrude the tongue as much as possible. The anatomy of the oral cavity is visualized.
Modified Mallampatti Scoring.
- Class I: Soft palate, uvula, fauces, pillars visible.
- Class II: Soft palate, uvula, fauces visible.
- Class III: Soft palate, base of uvula visible.
- Class IV: Only hard palate visible.