Principles of surgical treatment of jaw osteomyelitis in patients with drug addiction

The aim of this study is to improve the effectiveness of
treatment of drug addicted patients with osteomyelitis of
the jaws by developing the basic principles of surgery.
A total of eighty patients with chronic osteomyelitis of
facial bones were examined and treated in the Kiev city
clinical hospital №12 MFD №2 from 2012 to 2014.
The average age of patients was 28.65 + 0,43 years,
primarily males (77.2%). Medical history revealed
that sixty patients (75%) had previously suffered from
viral hepatitis (B, C), ten patients (12.5%) had been
HIV-infected earlier. All the patients reported the
use of the drug from the group of amphetamines –
Pervitin («Vint”); however, half of the patients (50%)
pointed out that they also used other drugs, including
“shirka” (opiates) and “methadone” (derivative
of heroin). During hospitalization, all the patients
underwent a standard general medical examination,
radiological evaluation (CT scanning) and a surgical
intervention – sequestrectomy, sequestrnecrectomy,
necrectomy, and resection of the affected part of the jaw.