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. 2004 Oct 23;329(7472):955–959. doi: 10.1136/bmj.329.7472.955

Table 1.

Components of preoperative physical examination of airway that may indicate difficult intubationw13

Airway investigation element Disturbing findings
Length of neck
Short
Thickness of neck
Thick
Range of motion of head and neck
Patient cannot touch tip of chin to chest or cannot extend neck
Visibility of uvula
Not visible when tongue is protruded with patient in sitting position
Shape of palate
Highly arched or very narrow
Thyromental* distance
Less than three ordinary finger breadths
Compliance of mandibular space
Stiff, indurated, occupied by mass, or non-elastic
Length of upper incisors
Relatively long
Normal jaw closure
Prominent “overbite”
Interincisor distances Less than 3 cm
*

Measured along a straight line from the thyroid notch to the lower border of the mandibular mentum with the head fully extended.