{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T03:02:43Z","timestamp":1789354963628,"version":"build-2803163510"},"reference-count":34,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T00:00:00Z","timestamp":1789257600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T00:00:00Z","timestamp":1789257600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To map and synthesize the evidence on epiglottopexy in pediatric patients with laryngomalacia, epiglottic prolapse, and obstructive sleep apnea (OSA) with attention to indications, techniques, outcomes, complications, and evidence gaps.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>PubMed\/MEDLINE, Scopus, Web of Science, and Google Scholar were searched from January 1980 to May 2026 for English\u2010 and French\u2010language studies, supplemented by hand\u2010searching of reference lists.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Review Methods<\/jats:title>\n                    <jats:p>This scoping review followed PRISMA\u2010ScR guidelines. The review protocol was registered on OSF prior to data extraction. Eligible studies were original reports of pediatric patients (&lt;\u200918\u2009years) who underwent epiglottopexy for any indication. Two reviewers independently screened records and extracted data; findings were synthesized descriptively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010four studies (371 patients) published between 1987 and 2026 met inclusion criteria, comprising case reports, case series, and retrospective cohorts from 10 countries. Surgical approaches included endoscopic CO\n                      <jats:sub>2<\/jats:sub>\n                      laser or cautery\u2010assisted glossoepiglottopexy, transoral suture\u2010based epiglottopexy, transcervical external fixation, and robot\u2010assisted epiglottopexy. Indications spanned classic Type III laryngomalacia, epiglottic prolapse complicating tracheostomy\u2010dependent or syndromic airway disease, and increasingly, drug\u2010induced sleep endoscopy (DISE)\u2010confirmed epiglottic obstruction in children with refractory OSA. Respiratory improvement was consistently reported, swallowing function was largely preserved or improved, and complication and recurrence rates were low, with single\u2010procedure success in most cases.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Epiglottopexy is reported to be safe and effective for pediatric epiglottic prolapse across diverse clinical contexts and techniques. DISE has expanded its indications to sleep\u2010state\u2010dependent epiglottic obstruction. Evidence remains limited by small, retrospective series; prospective studies with standardized DISE protocols, outcome measures, and longer follow\u2010up are needed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>N\/A.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70917","type":"journal-article","created":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T02:06:36Z","timestamp":1789351596000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pediatric Epiglottopexy: A Scoping Review of Indications, Techniques, Outcomes, and Complications"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-3604-0089","authenticated-orcid":false,"given":"Karim","family":"Estephan","sequence":"first","affiliation":[{"name":"Faculty of Medicine Universit\u00e9 de Montr\u00e9al  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8300-3220","authenticated-orcid":false,"given":"Mathieu","family":"Bergeron","sequence":"additional","affiliation":[{"name":"Department of Surgery Universit\u00e9 de Montr\u00e9al  Montreal Quebec Canada"},{"name":"Department of Pediatric Otolaryngology \u2010 Head &amp; Neck Surgery CHU Ste\u2010Justine  Montreal Quebec Canada"},{"name":"CHU Sainte Justine Research Institute CHU Sainte Justine  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,13]]},"reference":[{"issue":"7","key":"e_1_2_9_2_1","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1001\/jamaoto.2016.0830","article-title":"Objective Outcomes of Supraglottoplasty for Children With Laryngomalacia and Obstructive Sleep Apnea: A Meta\u2010Analysis","volume":"142","author":"Farhood Z.","year":"2016","journal-title":"JAMA Otolaryngology. 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P.","year":"2022","journal-title":"Ear, Nose, & Throat Journal"},{"key":"e_1_2_9_27_1","doi-asserted-by":"crossref","DOI":"10.1155\/2018\/2614143","article-title":"Palatine Tonsil Stenting of the Airway as Determined by Drug\u2010Induced Sleep Endoscopy","volume":"2018","author":"Zalzal H. G.","year":"2018","journal-title":"Case Reports in Otolaryngology"},{"issue":"4","key":"e_1_2_9_28_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.amjoto.2020.102478","article-title":"Epiglottopexy With or Without Aryepiglottic Fold Division: Comparing Outcomes in the Treatment of Pediatric Obstructive Sleep Apnea","volume":"41","author":"Zalzal H. G.","year":"2020","journal-title":"American Journal of Otolaryngology"},{"issue":"1","key":"e_1_2_9_29_1","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1007\/s00405-019-05664-6","article-title":"Swallowing Outcomes After Pediatric Epiglottopexy","volume":"277","author":"Kanotra S. 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