We report the case of a female patient of 24 years old from the city of Cajamarca referred to us, whom we evaluated, prepared and made a surgery with a tongue flap along the previous base, irrigated by the lingual artery in the Plastic Surgery and Burns Section at the Archbishop Loayza National Hospital to achieve the closing two stages (day 0 and then day 22 ) of a large oronasal fistula that caused rinofonía and nasal reflux of liquids and food; due to previous dehiscence Palatoplasty carried out in his city at the age of 2 years in a free foreign campaign of cleft lip and palate.

We report an unusual case of deflation of saline-filled implant due to interference by a ring of fibrous tissue from the capsule over the seal valve.

Objetivo: La finalidad de la investigación fue el identificar los factores de riesgo que inciden en las complicaciones y/o muerte del paciente gran quemado. Metodología: El estudio fue de casos y controles anidado en una cohorte. La población estuvo constituida por 180 pacientes gran quemados que ingresaron al Servicio de Cirugía Plástica y Quemados del Hospital Nacional Arzobispo Loayza, Pabellón 8II, en el periodo entre Junio del 2010 a Mayo del 2013. Resultados: Se revisaron 180 casos de pacientes gran quemados, de los que se obtuvo que, 56 (32.1%) fallecieron, siendo 34 del sexo masculino y 22 del sexo femenino, 19 de estos fueron mayores de 65 años. Dentro del grupo de mayor mortalidad estuvieron aquellos con quemaduras en más del 43% de la Superficie Corporal Total (SCT). 53 pacientes fallecieron por quemaduras ocasionadas por fuego. De los 49 pacientes que presentaron inju...

Objective: Limb amputation is considered one of the most devastating consequences of electrical injury. Any factors that correlate with the degree of muscle damage can be used to predict the necessity of limb amputation. The aim of this study was to determine the factors that can be used to predict limb amputation in high-voltage electrically injured patients. Material and Methods: Ninety-seven high-voltage electrically injured patients were admitted to the Department of Plastic and Reconstructive Surgery and Burns of Hospital Nacional Arzobispo Loayza on a 5 year period. A retrospective analysis of the possible related risk factors between amputation and on-amputation patients was performed. Results: A total of 64 patients were enrolled for analysis. Fifteen patients underwent limb amputations. Multivariate analysis of the risk factors between amputation and non-amputation groups showed...

Objective: To compare scar formation between regenerated nanocellulose dermal substitutes and xenografts in patients with deep second-degree thermal burns. Materials and methods: A comparative, interventional, analytical, prospective and longitudinal study was conducted. We present the report of 60 cases evaluated in a private clinic in Lima, Peru, between January 2022 and July 2023. Patients aged 1 to 60 years without comorbidities were evaluated for scar formation from deep second-degree thermal burns within the first 24 hours of the accident. Both dermal substitutes were used in all patients. The study was authorized with informed consent. Results: An evaluation was conducted at 90 days, showing better scar formation with the synthetic dermal substitute made of nanocellulose compared to the xenograft. The results were evaluated using the Vancouver Scar Scale (VSS) (vascularization, pi...