What can Anthropometric Measurements Tell us About Mallampati Classification?

Objective: Mallampati scoring is the most common examination method for predicting possible intubation problems. The purpose of this study is to investigate the relationship of facial anthropometric measurements with the modified Mallampati score (MMS). Material and Methods: The study population con...

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Main Authors: Alkin Çolak, Ali Yılmaz, Dilek Memiş, Necdet Süt, Bülent Sabri Cigali, Murat Kargı, Selman Çıkmaz
Format: Article
Language:English
Published: Galenos Publishing House 2012-03-01
Series:Balkan Medical Journal
Subjects:
Online Access:http://www.tutfd.org/text.php3?id=832
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author Alkin Çolak
Ali Yılmaz
Dilek Memiş
Necdet Süt
Bülent Sabri Cigali
Murat Kargı
Selman Çıkmaz
author_facet Alkin Çolak
Ali Yılmaz
Dilek Memiş
Necdet Süt
Bülent Sabri Cigali
Murat Kargı
Selman Çıkmaz
author_sort Alkin Çolak
collection DOAJ
description Objective: Mallampati scoring is the most common examination method for predicting possible intubation problems. The purpose of this study is to investigate the relationship of facial anthropometric measurements with the modified Mallampati score (MMS). Material and Methods: The study population consisted of 153 male and 170 female volunteers (mean ages, 48,9±16,9 and 44,1±15,4 years, respectively). All participants were subjected to Mallampati scoring and facial anthropometric measurements during pre-operative visit. Anthropometric measurements included inter-incisor gap, lower face height, thyrogonial length, thyromental distance and bigonial distance. The relationship of anthropometric measurements with the MMS was investigated by statistical analysis.Results: Bigonial distance showed a positive correlation with the MMS (r=0.857; p<0.001), whereas inter-incisor gap, lower face height, and thyromental distance showed negative correlations (r=-0.809, r=-0.738, and r=-0.762 respectively p<0.001 for all). ROC and AUC analysis showed that the BGD level had the highest significant AUC (p<0.001). Optimal cut-off point for BGD was >113 mm, and at this cut-off point, the sensitivity rate was 94.8% and the specificity rate was 95.9%. BGD was the best predictor for discriminating MMS 3-4. Conclusion: We suggest that facial measurements such as bigonial distance may be used as alternatives for Mallampati evaluation when the patient’s condition is not suitable for Mallampati scoring.
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spelling doaj.art-d227f895f57b4dfa93625863a9d3fb012023-02-15T16:07:33ZengGalenos Publishing HouseBalkan Medical Journal2146-31232146-31312012-03-012916872What can Anthropometric Measurements Tell us About Mallampati Classification?Alkin ÇolakAli YılmazDilek MemişNecdet SütBülent Sabri CigaliMurat KargıSelman ÇıkmazObjective: Mallampati scoring is the most common examination method for predicting possible intubation problems. The purpose of this study is to investigate the relationship of facial anthropometric measurements with the modified Mallampati score (MMS). Material and Methods: The study population consisted of 153 male and 170 female volunteers (mean ages, 48,9±16,9 and 44,1±15,4 years, respectively). All participants were subjected to Mallampati scoring and facial anthropometric measurements during pre-operative visit. Anthropometric measurements included inter-incisor gap, lower face height, thyrogonial length, thyromental distance and bigonial distance. The relationship of anthropometric measurements with the MMS was investigated by statistical analysis.Results: Bigonial distance showed a positive correlation with the MMS (r=0.857; p<0.001), whereas inter-incisor gap, lower face height, and thyromental distance showed negative correlations (r=-0.809, r=-0.738, and r=-0.762 respectively p<0.001 for all). ROC and AUC analysis showed that the BGD level had the highest significant AUC (p<0.001). Optimal cut-off point for BGD was >113 mm, and at this cut-off point, the sensitivity rate was 94.8% and the specificity rate was 95.9%. BGD was the best predictor for discriminating MMS 3-4. Conclusion: We suggest that facial measurements such as bigonial distance may be used as alternatives for Mallampati evaluation when the patient’s condition is not suitable for Mallampati scoring.http://www.tutfd.org/text.php3?id=832Anthropometrybigonial distanceinter incisor gapmodified mallampati scorethyromental distance
spellingShingle Alkin Çolak
Ali Yılmaz
Dilek Memiş
Necdet Süt
Bülent Sabri Cigali
Murat Kargı
Selman Çıkmaz
What can Anthropometric Measurements Tell us About Mallampati Classification?
Balkan Medical Journal
Anthropometry
bigonial distance
inter incisor gap
modified mallampati score
thyromental distance
title What can Anthropometric Measurements Tell us About Mallampati Classification?
title_full What can Anthropometric Measurements Tell us About Mallampati Classification?
title_fullStr What can Anthropometric Measurements Tell us About Mallampati Classification?
title_full_unstemmed What can Anthropometric Measurements Tell us About Mallampati Classification?
title_short What can Anthropometric Measurements Tell us About Mallampati Classification?
title_sort what can anthropometric measurements tell us about mallampati classification
topic Anthropometry
bigonial distance
inter incisor gap
modified mallampati score
thyromental distance
url http://www.tutfd.org/text.php3?id=832
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