U dây thần kinh mặt đoạn trong xương thái dương biểu hiện lâm sàng và cách điều trị

Tap cht Tai MQi Hgng Vi$t Nam - Volume (58-15) N°3- May, 2013

U DAY THAN KINH MAT DOAN TRONG XlTONG

THAI DlTOfNG BIEU HIEN LAM SANG VA CACH DIEU TRI

Dodn Thi Hdng Hoa*, Trhn Duy Ninh**

TOM TAT

U ddy mgt Id mgt khoi u lanh tinh tuong doi hiim gap. Tity theo vi tri khoi u vd muc do

xdm lan din cdu true xung quanh md bieu hien lam sdng khdc nhau cUng nhu dudng vdo

phdu thugt cung khdc nhau. Nhdn 5 truong hgp u ddy mat a cdc vi tri khdc nhau. chiing toi

mudn phdn tich cdc trieu chung lam sdng vd dua ra phuong huong dieu trj.

Tit khoa . u thdn kinh, ddy mat. Hit mat. xuong thdi duong.

SUMMARY

INTRATEMPORAL FACIAL NERVE NEUROMA

CLINICAL PRESENTATION AND MANAGEMENTS.

Facial nerve neuroma is an uncommon benign tumor. Depending on its locations and

its extension level to the surrounding structures, there are 3 variety of clinical

manifestations and surgical approaches to apply. And with five cases having tumors at

different sites, we will analyze the clinical presentations and propose treatment directions

for each.

Key words : neuroma, facial nerve, paralysis, temporal bone.

1. DAT VAN BE

U day than kinh mat Id mdt khdi u Idnh

tinh tuong ddi hi^m gap, chiem khoang

0,8% trong toan bd cdc khdi u ciia xuong

da. Khdi u ndy phdt trien chdm phdt sinh tir

te bao Schwann cua day mdt. Tdn thuong

CO the d bdt cii doan ndo cua day mat tir

goc cau tieu nao din doan ngoai bien, ngodi

xuong thai duong. Doan hach gdi ciing nhu

doan me nhi va doan chum thudng bi tdn

thuang va tdn thuong nhidu doan hay gap

hon mdt doan [1,2]

Trieu chiing 1dm sang tiiy thugc vdo vi

tri tdn thuong. Tdn thuong d dng tai trong

*udng khdi ddu bdng rdi loan chdc ndng

do tai tidn finh. Khdi u d hach gdi, doan

nhi hay doan chiim bidu hien rdi Igan chiic

nSng cua day mat tir co thdt nda mdt den

liet mat. Kh6i u day mat d doan nhi cd the

* BV. Tai Mui Hong TW

** DHY Th4i Nguyen

Nh^n bai 20/4. Duyet in 5/5/2013

gdy diec ddn truyen vd khdi u d ngoai

xuong thdi duong bieu hien mdt khdi cd the

sd thdy trong tuyen mang tai [3]

Nhimg ti8n bg ciia cdng hudng tir tdc

ddng ddng ke den chdn doan vd sir ly u than

kinh mat vi chdn doan sdm hon, cd the

phdc hga xam Idn khdi u chinh xac hon so

vdi trudc day vd giiip phan biet vdi u day

thdn kinh thinh giac. Tuy nhien, dieu trj u

day mat vdn Id nhimg thach thiic ddi vdi

phdu thudt vien. Nhdn 5 trudng hgp u day

thdn kinh mat vdi cdc khu tni khac nhau,

muc tieu nghien ciiu ciia chiing tdi la phan

tich cdc bidu hien lam sdng vd danh gid ket

qud didu tri u ddy thdn kinh mat.

2. D6 I TU'gfNG VA PHU^ONG PHAP

NGHIEN cifV

1. Ddi tugng nghien curu : 5 trudng hgp u

day thdn kinh mat doan trong xuong thdi

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