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👄 Mallampati Classification

Predict difficult laryngoscopy from the oropharyngeal view (Mallampati).

Clinical takeaway

Class III–IV predicts higher difficulty.

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When to use

Airway assessment before anaesthesia or intubation.

How it works

Class I–IV by visible structures (I: pillars/uvula visible … IV: only hard palate).

Key points

  • Class III–IV predicts higher difficulty.
  • One of several airway predictors — combine them.
  • A reassuring class doesn't exclude a difficult airway.

References

Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

Mallampati classI — soft palate, fauces, uvula, pillars visible

MallampatiClass I

  • InterpretationClass I–II — lower predicted difficulty.
Mallampati classIV — only hard palate visible

MallampatiClass IV

  • InterpretationClass III–IV is associated with a higher risk of difficult laryngoscopy/intubation.

Frequently asked questions

What is Mallampati Classification?
Predict difficult laryngoscopy from the oropharyngeal view (Mallampati).
How is Mallampati Classification calculated? What is the core formula?
Class I–IV by visible structures (I: pillars/uvula visible … IV: only hard palate).
When is Mallampati Classification used?
Airway assessment before anaesthesia or intubation.
What are the key clinical points for Mallampati Classification?
Class III–IV predicts higher difficulty. One of several airway predictors — combine them. A reassuring class doesn't exclude a difficult airway.
What are the limits and cautions when using Mallampati Classification?
For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
How is Mallampati Classification calculated in practice? Can you show a worked example?
Inputs: Mallampati class I — soft palate, fauces, uvula, pillars visible → Result: Mallampati Class I(Interpretation: Class I–II — lower predicted difficulty.) Inputs: Mallampati class IV — only hard palate visible → Result: Mallampati Class IV(Interpretation: Class III–IV is associated with a higher risk of difficult laryngoscopy/intubation.)

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