{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T16:20:02Z","timestamp":1790612402334,"version":"4.1.0"},"reference-count":45,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,9,15]],"date-time":"2015-09-15T00:00:00Z","timestamp":1442275200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>To systematically review the international literature evaluating the role of the epiglottis in snoring and obstructive sleep apnea and to explore possible treatment options available.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Sources<\/jats:title><jats:p>PubMed, Scopus, Embase, Google Scholar, Book Citation Index\u2010Science, CINAHL, Conference Proceedings Citation Index\u2010Science, The Cochrane Collaboration Databases, and Web of Science.<\/jats:p><\/jats:sec><jats:sec><jats:title>Review Method<\/jats:title><jats:p>The searches were performed from the first year of each database through March 5, 2015.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fourteen studies about the prevalence of epiglottis collapse in obstructive sleep apnea (OSA) were found. Most involved drug\u2010induced sleep endoscopy studies that indirectly reported their findings about epiglottis collapse. The data suggests that the prevalence of epiglottis collapse in OSA is higher than previously described. The epiglottis has been implicated in 12% of cases of snoring, and sound originating from it has a higher pitch than palatal snoring. Continuous positive pressure (CPAP) surgery and positional therapy in the treatment of epiglottis collapse were also considered. Lateral position of the head may reduce the frequency of epiglottis collapse. With regard to CPAP, available reports suggest that it may accentuate collapse of the epiglottis. Surgery may help reduce snoring in some patients with a lax epiglottis and improve OSA in patients undergoing multilevel surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Knowledge regarding the role of the epiglottis in adult OSA and snoring patients is limited. The prevalence of this phenomenon in OSA seems to be greater than previously reported, and more research is needed to understand its role in OSA and the best way to treat it.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>NA. <jats:italic>Laryngoscope<\/jats:italic>, 126:515\u2013523, 2016<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.25589","type":"journal-article","created":{"date-parts":[[2015,9,15]],"date-time":"2015-09-15T13:13:23Z","timestamp":1442322803000},"page":"515-523","source":"Crossref","is-referenced-by-count":131,"title":["Epiglottis collapse in adult obstructive sleep apnea: A systematic review"],"prefix":"10.1002","volume":"126","author":[{"given":"Carlos","family":"Torre","sequence":"first","affiliation":[{"name":"Division of Sleep Surgery, Department of Otolaryngology\u2013Head and Neck Surgery Stanford University Medical Center Stanford California"},{"name":"School of Medicine Stanford University Stanford California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Macario","family":"Camacho","sequence":"additional","affiliation":[{"name":"Division of Sleep Medicine, Department of Psychiatry and Behavioral Sciences Stanford Hospital and Clinics Stanford California"},{"name":"School of Medicine Stanford University Stanford California"},{"name":"Division of Sleep Surgery and Medicine, Department of Otolaryngology\u2013Head and Neck Surgery Tripler Army Medical Center Honolulu Hawaii U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stanley Yung\u2010Chuan","family":"Liu","sequence":"additional","affiliation":[{"name":"Division of Sleep Surgery, Department of Otolaryngology\u2013Head and Neck Surgery Stanford University Medical Center Stanford California"},{"name":"School of Medicine Stanford University Stanford California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leh\u2010Kiong","family":"Huon","sequence":"additional","affiliation":[{"name":"Division of Sleep Surgery, Department of Otolaryngology\u2013Head and Neck Surgery Stanford University Medical Center Stanford California"},{"name":"Department of Otolaryngology, Head and Neck Surgery Cathay General Hospital Taipei Taiwan"},{"name":"School of Medicine Fu Jen Catholic University Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robson","family":"Capasso","sequence":"additional","affiliation":[{"name":"Division of Sleep Surgery, Department of Otolaryngology\u2013Head and Neck Surgery Stanford University Medical Center Stanford California"},{"name":"School of Medicine Stanford University Stanford California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,9,15]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199601113340207"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.281250"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.compbiomed.2011.09.001"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2012.01.002"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599813509959"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-011-1633-8"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23881"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24972"},{"key":"e_1_2_7_10_1","first-page":"561","article-title":"[Congenital laryngomalacia in children]. [Article in Polish]","volume":"54","author":"Grzegorowski M","year":"2000","journal-title":"Otolaryngologia Pol"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-014-2945-2"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2000-11565"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.106.6.1898"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.91.4.621"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949210100405"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100142136"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25126"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2006.05.015"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24577"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.22369"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23462"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-014-3051-1"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940010901211"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23913"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599815586978"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24494"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.64.6.856"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100145888"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2007.01.009"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100131548"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1258\/0022215011907479"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/1746-160X-4-15"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199705000-00011"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2014.926"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2006.06.1253"},{"key":"e_1_2_7_36_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000156464.37681.BF"},{"key":"e_1_2_7_37_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599813517984"},{"key":"e_1_2_7_38_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-014-3215-z"},{"key":"e_1_2_7_39_1","doi-asserted-by":"publisher","DOI":"10.1088\/0967-3334\/28\/10\/008"},{"key":"e_1_2_7_40_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2273.2002.00554.x"},{"key":"e_1_2_7_41_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016489.2012.660733"},{"key":"e_1_2_7_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1996.tb01313.x"},{"key":"e_1_2_7_43_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.1989.tb136420.x"},{"key":"e_1_2_7_44_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e31816422ea"},{"key":"e_1_2_7_45_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-006-0182-z"},{"key":"e_1_2_7_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2005.10.062"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.25589","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.25589","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,26]],"date-time":"2023-09-26T06:46:01Z","timestamp":1695710761000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.25589"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,9,15]]},"references-count":45,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2016,2]]}},"alternative-id":["10.1002\/lary.25589"],"URL":"https:\/\/doi.org\/10.1002\/lary.25589","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,9,15]]}}}