厚唇和重唇的区别及手术修复

Differentiationandsurgicaltechniquebetweenthedoublelipandthethicklip

本文报告了近两年来施行手术修复的２０例厚唇和重唇病例，前者１２例、后者８例。作者认为厚唇并非病态，而是种族和个体差异。上唇厚度男性超过９ｍｍ，女性超过８ｍｍ，下唇男性超过１０．５ｍｍ，女性超过９．５ｍｍ可称厚唇，可考虑行薄唇术。而重唇则是一种较少见的先天性畸形，胚胎期唇粘膜分为内外两个横带，中间的横沟加深，且伴有小粘液腺或混合腺增生肥大。重唇手术除一般修薄外，更重要的是要将横沟及横沟内的绒毛部切除，对粘膜下增生肥大的粘液腺也要彻底摘除，并注意和深部肌肉作固定缝合，以防复发。

Inpast2years,operationwereperformedin20cases,ofwhich12caseswerethicklipand8casesweredoublelip.Weconsiderthethicklipisn'tadisease,butthediferenceoftheraceandindividualvariation.Itmaybediagnosedasthethicknesslipandoperatedifthethickofupperlipex-ceeds9mminmale,8mminfemaleandthelowerlipisthickerthan10.5mminmale,9.5mminfe-male.Congenitaldoublelipisararedeformity.Infetaldevelopment,thelipwasspearatedintotwoportiontransverselybyadeepfurrowwithhypertrophyofsmalmucousglandsandmixedglands.Thekeypointsduringtheoperation:(1)Excisethevilouspartoffurrow;(2)Totalyremovethehypertro-phiedsubmucosalglands;(3)Inordertopreventrecurrenceparticularattentionwaspaidtofixsutureofthedeepmuscle.