👅 How to Check Tonsils When the View Is Tricky Sometimes it’s easy to see the back of the throat. But in kids—or adults—with large tonsils, mouth breathing, tongue-tie, or a narrow palate, the view can be much harder. Instead of tonsils, all you see is hard palate. That’s often a Mallampati class 4 view—and it’s an important clue. A few key tips that can make a big difference: ✔️ Sit upright ✔️ Use the sniffing position (chin neutral, gentle neck extension) ✔️ Avoid chin-tuck or over-extension