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Original Research

Open Access

Mallampati and Brodsky Classification and Children’s Risk for Sleep Related Breathing Disorder

  • Bret Lesavoy1,*,
  • Christie Lumsden2
  • Eli Grunstein3
  • Richard Yoon4

1Columbia University Medical Center, New York, NY 10032 USA

2Section of Oral, Diagnostic, and Rehabilitation Sciences at the College of Dental Medicine, Columbia University Medical Center, New York, NY 10032 USA

3Division of Pediatric Otolaryngology at the College of Physicians and Surgeons, Columbia University Medical Center, New York, NY 10032 USA

4Section of Growth and Development at the College of Dental Medicine, Columbia University Medical Center, New York, NY 10032 USA

DOI: 10.22514/1053-4625-46.4.4 Vol.46,Issue 4,July 2022 pp.280-286

Published: 01 July 2022

*Corresponding Author(s): Bret Lesavoy E-mail: bretlesavoy@gmail.com

Abstract

Objective: To evaluate associations between Mallampati and Brodsky classification and children’s risk for sleep related breathing disorder (SRBD). Study Design: This study recruited well-children 2-11 years old and legal guardians over 18 years from a community dental clinic. Modified Mallampati classification (I-IV) and Brodsky grade (0-4) were classified by a single dentist. Guardians completed the validated 22-item pediatric sleep questionnaire (PSQ) to identify children at risk of SRBD. Associations between Mallampati and Brodsky classifications with risk for SRBD as defined by PSQ were determined by Chi-square, Kruskal-Wallis, and simple logistic regression models. Results: Of 150 children included (M=5.9 years), 76 (51%) female, 108 (72%) Latino/Hispanic, 82 (55%) were classified as Mallampati class I or II, 68 (45%) class III or IV, 119 (79%) were identified as Brodsky grade 0, 1, or 2, and 31 (21%) grade 3 or 4. Children with Mallampati class III and IV and Brodsky grade 3 and 4 collectively had a 5.24-fold and 2.8-fold increase in SRBD risk per PSQ compared to children with class I and II and grade 1 and 2, respectively. Conclusion: Mallampati classification may be a quick, non-invasive screening tool to improve identification and timely intervention for children at risk of SRBD.


Keywords

Sleep apnea syndromes; Oropharynx; Snoring


Cite and Share

Bret Lesavoy,Christie Lumsden,Eli Grunstein,Richard Yoon. Mallampati and Brodsky Classification and Children’s Risk for Sleep Related Breathing Disorder. Journal of Clinical Pediatric Dentistry. 2022. 46(4);280-286.

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