title: Management of fibro-osseous lesions of the craniofacial area. Presentation of 19 cases and review of the literature.
abstract: BACKGROUND
  Fibro-osseous lesions constitute a rare benign type of pathology with a non-odontogenic lineage that affect the craniofacial area. According to Waldrom's classification, these lesions are divided into: fibrous dysplasia (FD), cemento-ossifying fibroma (COF) and desmoplastic fibroma (DF).
  
  
  METHODS
  A retrospective study was performed on patients diagnosed with fibro-osseous lesions of the craniofacial area at the Hospital Universitario La Fe, Valencia, during 1987-2009. A total of 19 cases were collected: 15 cases compatible with an FD diagnosis, 3 cases with a COF diagnosis and 1 case with a DF diagnosis.
  
  
  RESULTS
  In the differential diagnosis, entities having similar clinical manifestations in the maxillofacial area with possible involvement of teeth or manifestations present as an asymptomatic radiolucent image should be ruled out. We hereby present the management and development of patients treated in our hospital for fibro-osseous lesions.
  
  
  CONCLUSIONS
  Fibro-osseous lesions share many clinical and radiological characteristics in common, with histological features confirming the nature of the lesion. Management of patients should be individualized and case-specific, assessing the clinical evolution of each case and taking into account the benign nature and growth behavior of this type of tumors.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Hospital Universitario La Fe Tower B 3rd Floor, Avd Boulevard Sur S / N 46026, Valencia, Spain. asuasoto@gmail.com
authors.forename: Aldo
authors.initials: A
authors.lastname: Suarez-Soto
authors.forename: Mari-Carmen
authors.initials: MC
authors.lastname: Baquero-Ruiz de la Hermosa
authors.forename: Ignacio
authors.initials: I
authors.lastname: Minguez-Martínez
authors.forename: Luis-Miguel
authors.initials: LM
authors.lastname: Floría-García
authors.forename: Jose
authors.initials: J
authors.lastname: Barea-Gámiz
authors.forename: Jose
authors.initials: J
authors.lastname: Delhom-Valero
authors.forename: Presentation
authors.initials: P
authors.lastname: Risueño-Mata
mesh_terms: D000328:Adult; D000368:Aged; D001859:Bone Neoplasms / Q000175:diagnosis* / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D005147:Facial Bones; D005260:Female; D018220:Fibroma, Desmoplastic / Q000175:diagnosis* / Q000628:therapy*; D018214:Fibroma, Ossifying / Q000175:diagnosis* / Q000628:therapy*; D005357:Fibrous Dysplasia of Bone / Q000175:diagnosis* / Q000628:therapy*; D005359:Fibrous Dysplasia, Polyostotic / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012886:Skull; D055815:Young Adult