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Spontaneous bone formation after mandible segmental resection in “krokodil” drug-related jaw osteonecrosis patient: case report

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Abstract

We report a case of a 48-year-old male patient with “krokodil” drug-related osteonecrosis of both jaws. Patient history included 1.5 years of “krokodil” use, with 8-month drug withdrawal prior to surgery. The patient was HCV positive. On the maxilla, sequestrectomy was performed. On the mandible, sequestrectomy was combined with bone resection. From ramus to ramus, segmental defect was formed, which was not reconstructed with any method. Post-operative follow-up period was 3 years and no disease recurrence was noted. On 3-year post-operative orthopantomogram, newly formed mandibular bone was found. This phenomenon shows that spontaneous bone formation is possible after mandible segmental resection in osteonecrosis patients.

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Authors and Affiliations

  1. Department of Maxillofacial Surgery of “Kanaker-Zeytun” m/c, 7 H Nersisyan Str., 0014, Yerevan, Armenia

    Koryun Hakobyan

  2. Chair of Postgraduate Maxillofacial Surgery, Yerevan State Medical University, 2 Koryun Str, 0025, Yerevan, Armenia

    Yuri Poghosyan

Authors
  1. Koryun Hakobyan
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  2. Yuri Poghosyan
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Correspondence to Koryun Hakobyan.

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The authors declare that they have no conflict of interest.

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This study was not funded by any fund.

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Informed consent was obtained from the patient in this case report.

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Hakobyan, K., Poghosyan, Y. Spontaneous bone formation after mandible segmental resection in “krokodil” drug-related jaw osteonecrosis patient: case report. Oral Maxillofac Surg 21, 267–270 (2017). https://doi.org/10.1007/s10006-017-0613-6

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  • DOI: https://doi.org/10.1007/s10006-017-0613-6

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