{"id":62674,"date":"2026-02-22T13:41:03","date_gmt":"2026-02-22T12:41:03","guid":{"rendered":"https:\/\/carlosoconnor.es\/?p=62674"},"modified":"2026-03-09T15:39:59","modified_gmt":"2026-03-09T14:39:59","slug":"la-edad-cronologica-no-siempre-refleja-la-plasticidad-funcional-presentacion-de-un-caso","status":"publish","type":"post","link":"https:\/\/carlosoconnor.es\/en\/la-edad-cronologica-no-siempre-refleja-la-plasticidad-funcional-presentacion-de-un-caso\/","title":{"rendered":"La edad cronol\u00f3gica no siempre refleja la plasticidad funcional: presentaci\u00f3n de un caso"},"content":{"rendered":"<p>\ud83d\udd37 Chronological age does not always reflect functional plasticity \/ La edad cronol\u00f3gica no siempre refleja la plasticidad funcional \ud83d\udd37<\/p>\n\n\n\n<p>There an age limit for frenuloplasty in OSA? 75-year-old patient. Severe OSA (AHI 62). Postoperative DISE worsened (T1 \u2192 T2).<\/p>\n\n\n\n<p>Yet:<\/p>\n\n\n\n<p>* Tongue strength doubled (21 \u2192 42 kPa, IOPI)<\/p>\n\n\n\n<p>* 600 sessions of neuromuscular rehabilitation<\/p>\n\n\n\n<p>* Final AHI: 12<\/p>\n\n\n\n<p>* CPAP discontinued in 2026<\/p>\n\n\n\n<p>This case challenges two assumptions:<\/p>\n\n\n\n<p>1\ufe0f\u20e3 Age limits neuromuscular adaptation<\/p>\n\n\n\n<p>2\ufe0f\u20e3 DISE alone predicts outcome<\/p>\n\n\n\n<p>The upper airway is a dynamic system. Selected case. Objective data. Long term follow-up.<\/p>\n\n\n\n<p>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<\/p>\n\n\n\n<p>\u00bfExiste un l\u00edmite de edad para la frenuloplastia en la AOS? Paciente de 75 a\u00f1os. AOS grave (IAH 62). La DISE postoperatoria empeor\u00f3 (T1 \u2192 T2).<\/p>\n\n\n\n<p>Aun as\u00ed:<\/p>\n\n\n\n<p>* La fuerza lingual se duplic\u00f3 (21 \u2192 42 kPa, IOPI)<\/p>\n\n\n\n<p>* 600 sesiones de rehabilitaci\u00f3n neuromuscular<\/p>\n\n\n\n<p>* IAH final: 12<\/p>\n\n\n\n<p>* La CPAP se suspendi\u00f3 en 2026<\/p>\n\n\n\n<p>Este caso cuestiona dos supuestos:<\/p>\n\n\n\n<p>1\ufe0f\u20e3 La edad limita la adaptaci\u00f3n neuromuscular<\/p>\n\n\n\n<p>2\ufe0f\u20e3 La DISE por s\u00ed sola predice el pron\u00f3stico<\/p>\n\n\n\n<p>La v\u00eda a\u00e9rea superior es un sistema din\u00e1mico. Caso seleccionado. Datos objetivos. Seguimiento a largo plazo.<\/p>\n\n\n\n<p><strong>#aos<\/strong> <strong>#dise<\/strong> <strong>#osa<\/strong> <strong>#Frenuloplasty<\/strong> <strong>#SleepApnea<\/strong><\/p>\n\n\n\n<p><strong>#EdadYFrenuloplastia<\/strong> <strong>#TratamientoApnea<\/strong> <strong><\/strong><strong>#FuerzaLingual<\/strong><\/p>\n\n\n\n<p><strong>#MejoraPostoperatoria<\/strong> <strong>#Frenuloplasty<\/strong> <strong>#SleepApnea<\/strong> <strong>#AgeAndFrenuloplasty<\/strong> <strong>#ApneaTreatment<\/strong> <strong>#LinguisticStrength<\/strong> <strong>#PostoperativeImprovement<\/strong><\/p>\n\n\n\n<p>Enlace\/Link: https:\/\/www.linkedin.com\/posts\/carlos-o-connor-reina-90b1968_frenuloplastia-apneadelsueaeho-aos-activity-7431316145095213057-XNEm?utm_source=share&amp;utm_medium=member_desktop&amp;rcm=ACoAAAFzUpsBP-i6thg3tQDDj6jwGajRZTdiC3o<\/p>","protected":false},"excerpt":{"rendered":"<p>\ud83d\udd37 Chronological age does not always reflect functional plasticity \/ La edad cronol\u00f3gica no siempre refleja la plasticidad funcional \ud83d\udd37 There an age limit for frenuloplasty in OSA? 75-year-old patient.&hellip;<\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[270,269,275],"tags":[],"class_list":["post-62674","post","type-post","status-publish","format-standard","hentry","category-apnea-obstructiva-del-sueno","category-casos-clinicos","category-otorrinolaringologia"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.4 - 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