From Columbia University Medical Center.
Bret Lesavoy, DMD, Private Practice.
J Clin Pediatr Dent. 2022 Jul 1;46(4):280-286. doi: 10.22514/1053-4625-46.4.4.
To evaluate associations between Mallampati and Brodsky classification and children's risk for sleep related breathing disorder (SRBD).
This study recruited well-children 2-11 years old and legal guardians over 18 years from a community dental clinic. Modified Mallampati classification (IIV) 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.
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.
Mallampati classification may be a quick, non-invasive screening tool to improve identification and timely intervention for children at risk of SRBD.
评估马兰巴蒂（Mallampati）和布罗德斯基（Brodsky）分类与儿童睡眠相关呼吸障碍（SRBD）风险之间的关联。
本研究招募了来自社区牙科诊所的 2-11 岁健康儿童及其 18 岁以上的法定监护人。由一名牙医对改良的马兰巴蒂分类（IIV）和布罗德斯基分级（0-4）进行分类。监护人完成了经过验证的 22 项儿科睡眠问卷（PSQ），以确定有 SRBD 风险的儿童。通过卡方检验、克鲁斯卡尔-沃利斯检验和简单逻辑回归模型，确定马兰巴蒂分类和布罗德斯基分级与 PSQ 定义的 SRBD 风险之间的关联。
在纳入的 150 名儿童中（M=5.9 岁），76 名（51%）为女性，108 名（72%）为拉丁裔/西班牙裔，82 名（55%）为马兰巴蒂分类 I 或 II 级，68 名（45%）为 III 或 IV 级，119 名（79%）为布罗德斯基分级 0、1 或 2 级，31 名（21%）为 3 或 4 级。与马兰巴蒂分类 I 级和 II 级以及布罗德斯基分级 1 级和 2 级的儿童相比，马兰巴蒂分类 III 级和 IV 级以及布罗德斯基分级 3 级和 4 级的儿童的 SRBD 风险分别增加了 5.24 倍和 2.8 倍。
马兰巴蒂分类可能是一种快速、非侵入性的筛查工具，可以提高对 SRBD 风险儿童的识别和及时干预。
