{"id":64209,"date":"2026-09-23T20:02:30","date_gmt":"2026-09-23T18:02:30","guid":{"rendered":"https:\/\/carlosoconnor.es\/?p=64209"},"modified":"2026-09-23T20:02:38","modified_gmt":"2026-09-23T18:02:38","slug":"usando-totrp-para-tener-mejor-criterios-quirurgicos-en-frenotomia-lingual","status":"publish","type":"post","link":"https:\/\/carlosoconnor.es\/en\/usando-totrp-para-tener-mejor-criterios-quirurgicos-en-frenotomia-lingual\/","title":{"rendered":"Usando TOTRP para tener mejor criterios quir\u00fargicos en frenotom\u00eda lingual"},"content":{"rendered":"

Evaluar la completitud quir\u00fargica en la frenotom\u00eda lingual suele ser subjetivo, pero contar con par\u00e1metros objetivos puede transformar este enfoque. Un reciente estudio de cohorte retrospectivo realizado por Sigal (2026), que analiz\u00f3 a 390 pacientes de 3 a 52 a\u00f1os intervenidos bajo anestesia general, deriv\u00f3 la herramienta TOTRP (Tool for Optimal Tongue Rest Posture). Al tomar la longitud del paladar duro como referencia anat\u00f3mica individual, la autora estableci\u00f3 un punto de control intraoperatorio claro: una extensi\u00f3n vertical lingual posterior a la liberaci\u00f3n equivalente a la longitud del paladar duro m\u00e1s 17 mm se asoci\u00f3 consistentemente con una succi\u00f3n palatina pasiva completa, indicador clave de la postura de reposo \u00f3ptima. Este criterio medible representa un avance relevante para guiar la adecuaci\u00f3n quir\u00fargica en el quir\u00f3fano y favorecer la correcta posici\u00f3n de descanso lingual, un factor esencial en la estabilidad de la v\u00eda a\u00e9rea superior y en el marco del trabajo miofuncional. No obstante, al tratarse de un estudio retrospectivo realizado bajo anestesia general \u2014donde la movilidad lingual diferi\u00f3 significativamente de las mediciones en vigilia\u2014, se requiere cautela al extrapolar estos valores a procedimientos en consultorio o despiertos.<\/p>\n\n\n\n

Enlace de referencia: https:\/\/lnkd.in\/e6gjYDsy<\/p>\n\n\n\n

#Anquiloglosia #Frenotomia #TerapiaMiofuncional #ViaAerea #MedicinaDelSueno #PosturaLingual<\/p>\n\n\n\n

\"images
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Evaluar la completitud quir\u00fargica en la frenotom\u00eda lingual suele ser subjetivo, pero contar con par\u00e1metros objetivos puede transformar este enfoque. 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