<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1729-519X</journal-id>
<journal-title><![CDATA[Revista Habanera de Ciencias Médicas]]></journal-title>
<abbrev-journal-title><![CDATA[Rev haban cienc méd]]></abbrev-journal-title>
<issn>1729-519X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de la Habana]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1729-519X2018000300451</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Displasia fibrosa: parámetros a considerar para la decisión quirúrgica]]></article-title>
<article-title xml:lang="en"><![CDATA[Fibrous dysplasia: parameters to be considered for surgical decision making]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guzmán Menco]]></surname>
<given-names><![CDATA[Eliana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Aparicio]]></surname>
<given-names><![CDATA[Erick]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Harris Ricardo]]></surname>
<given-names><![CDATA[Jonathan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Cartagena  ]]></institution>
<addr-line><![CDATA[Cartagena ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<volume>17</volume>
<numero>3</numero>
<fpage>451</fpage>
<lpage>461</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1729-519X2018000300451&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1729-519X2018000300451&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1729-519X2018000300451&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La displasia fibrosa es una patología benigna, poco frecuente, que afecta los huesos, se caracteriza por remplazo gradual del tejido óseo por fibroso, que genera alteraciones óseas estéticas y funcionales; histológicamente presenta una proliferación excesiva de las células mesenquimales que forman hueso.  Objetivo:  Conocer los aspectos relacionados con la toma de decisiones, con relación con el tratamiento quirúrgico o la opción de controles clínicos y radiográficos, en la displasia fibrosa.  Presentación del caso: Se reportan dos casos clínicos de pacientes pediátricos, que acudieron al Hospital Napoleón Franco Parejas de Cartagena-Colombia, por presentar displasia fibrosa, que generó asimetría facial unilateral, y compromete la estética del paciente y no se reportó sintomatología dolorosa; se describen características de la patología y criterios básicos, útiles en la toma de decisión terapéutica, ya sea abordaje quirúrgico radical, conservador o solo realizar control clínico y radiográfico de la lesión.  Conclusiones:  Los criterios clínicos como asimetría facial, deformidad estética y el compromiso funcional, son básicos en la elección quirúrgica como opción terapéutica, en la displasia fibrosa.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Fibrous dysplasia is an uncommon, benign pathology that affects the bones and is characterized by the gradual replacement of bone tissue by a fibrous one, creating aesthetic and functional bone disorders. Histologically, it presents an excessive proliferation of the mesenchymal cells that form the bone.  Objective:  To know the aspects related to decision making, regarding surgical treatment or the option of carrying out clinical and radiographic controls of fibrous dysplasia.  Case presentation: We report two cases of pediatric patients who attended the Children´s Hospital Napoleón Franco Pareja (HINFP) in Cartagena-Colombia presenting fibrous dysplasia that produced unilateral facial asymmetry compromising the aesthetics of patients, but reporting no painful symptoms. We describe the characteristics of the pathology and the basic useful criteria in making therapeutic decisions, with either conservative radical surgical approach or only performing a clinical and radiographic control of the lesion.  Conclusions:  Clinical criteria such as facial asymmetry, aesthetic deformity, and functional commitment are basic aspects in the therapeutic option for patients with in fibrous dysplasia.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Displasia fibrosa ósea]]></kwd>
<kwd lng="es"><![CDATA[displasia fibrosa monostótica]]></kwd>
<kwd lng="es"><![CDATA[cirugía]]></kwd>
<kwd lng="es"><![CDATA[patología benigna]]></kwd>
<kwd lng="en"><![CDATA[Fibrous Dysplasia of Bone]]></kwd>
<kwd lng="en"><![CDATA[Monostotic Fibrous Dysplasia]]></kwd>
<kwd lng="en"><![CDATA[Surgery]]></kwd>
<kwd lng="en"><![CDATA[benign disease]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alves]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[de Oliveira]]></surname>
<given-names><![CDATA[RJ]]></given-names>
</name>
<name>
<surname><![CDATA[Takehana]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Deana]]></surname>
<given-names><![CDATA[NF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Recurrent Monostotic Fibrous Dysplasia in the Mandible]]></article-title>
<source><![CDATA[Case Rep Dent]]></source>
<year>2016</year>
<volume>2016</volume>
<page-range>1-6</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pardo-Maza]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Lassaletta]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Ruiz-Bravo]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez-Mora]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Peñarrocha]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Gavilán]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fibrous dysplasia of the temporal bone secondary to ear surgery: a case report]]></article-title>
<source><![CDATA[J Med Case Rep]]></source>
<year>2015</year>
<month>.</month>
<volume>9</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Iglesias]]></surname>
<given-names><![CDATA[GA]]></given-names>
</name>
<name>
<surname><![CDATA[Caiaffa]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Jurado]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Barceló]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Ordoñez]]></surname>
<given-names><![CDATA[CP]]></given-names>
</name>
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Mebarak]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Salas]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Displasia fibrosa monostósica cráneo-facial: informe de 12 casos y revisión de la literatura]]></article-title>
<source><![CDATA[Salud Uninorte. Barranquilla (Col.)]]></source>
<year>1986</year>
<volume>3</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>177-90</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Burke]]></surname>
<given-names><![CDATA[AB]]></given-names>
</name>
<name>
<surname><![CDATA[Collins]]></surname>
<given-names><![CDATA[MT]]></given-names>
</name>
<name>
<surname><![CDATA[Boyce]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fibrous dysplasia of bone: craniofacial and dental implications]]></article-title>
<source><![CDATA[Oral Dis]]></source>
<year>2017</year>
<volume>23</volume>
<page-range>697-708</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ozdemir Kutbay]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Sarer Yurekli]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Kartal Baykan]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Baydur Sahin]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Saygili]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Characteristics and Treatment Results of 5 Patients with Fibrous Dysplasia and Review of the Literature]]></article-title>
<source><![CDATA[Case Rep Endocrinol]]></source>
<year>2015</year>
<volume>2015</volume>
<numero>7</numero>
<issue>7</issue>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Thomsen]]></surname>
<given-names><![CDATA[MD]]></given-names>
</name>
<name>
<surname><![CDATA[Rejnmark]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Clinical and radiological observations in a case series of 26 patients with fibrous dysplasia]]></article-title>
<source><![CDATA[Calcif Tissue Intern]]></source>
<year>2014</year>
<month>.</month>
<volume>94</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>384-95</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[López]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Colmenero]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Reyes]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Prieto]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Ruiz Sáncheze]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Ortega Aranegui]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Displasia fibrosa maxilar poliostótica en paciente tratada con pamidronato: a propósito de un caso]]></article-title>
<source><![CDATA[Rev Esp Cir Oral Maxilofac]]></source>
<year>2011</year>
<volume>33</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>84-7</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Couturier]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Aumaître]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Mom]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Gilain]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[André]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La dysplasie fibreuse osseuse cranio-faciale]]></article-title>
<source><![CDATA[Rev Med Interne]]></source>
<year>2016</year>
<month>.</month>
<volume>37</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>834-9</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Adetayo]]></surname>
<given-names><![CDATA[OA]]></given-names>
</name>
<name>
<surname><![CDATA[Salcedo]]></surname>
<given-names><![CDATA[SE]]></given-names>
</name>
<name>
<surname><![CDATA[Borad]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Richards]]></surname>
<given-names><![CDATA[SS]]></given-names>
</name>
<name>
<surname><![CDATA[Workman]]></surname>
<given-names><![CDATA[AD]]></given-names>
</name>
<name>
<surname><![CDATA[Ray]]></surname>
<given-names><![CDATA[AO]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fibrous dysplasia: an overview of disease process, indications for surgical management, and a case report]]></article-title>
<source><![CDATA[Eplasty]]></source>
<year>2015</year>
<month>.</month>
<volume>15</volume>
<page-range>37-46</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dueñas Ros]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Díaz Yanes]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Villafuerte Delgado]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Displasia fibrosa monostótica del seno maxilar izquierdo. Presentación de caso]]></article-title>
<source><![CDATA[Medisur]]></source>
<year>2007</year>
<volume>5</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>80-4</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hernández Cancino]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Weismannr]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Gerhardt]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Displasia fibrosa monostótica: Relato de un caso clínico]]></article-title>
<source><![CDATA[Rev Cubana Estomatol]]></source>
<year>2002</year>
<month>.</month>
<volume>39</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>417-26</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
