Oral Mucosa Graft in Palpebral Conjunctiva Malignant Melanoma

Main Article Content

Putu Yuliawati
Anak Agung Ayu Sukartini Djelantik
Ni Made Ayu Trisnadewi

Keywords

oral mucosa graft, conjunctiva melanoma, malignant

Abstract

Introduction: Conjunctiva malignant melanoma is a rare but potentially fatal ocular surface tumor, easy to bleed because of increased vascularization. Mucous membrane transplants have been used for a century in the reconstruction posterior lamella conjunctiva palpebra tissue and give good result combine with amnion membrane transplantation.


Case Description: A 65 years old male complained of ocular discomfort and a black pigmented mass over conjunctiva of right eye and easy to bleeding. The patient noticed the black pigmented mass since 2 months. The mass was initially small and gradually increase in size. The histopathology examination show melanoma maligna palpebral conjunctiva.Wide surgical excision with cryotherapy and oral mucosa and amniotic membrane graft done to this patient.


Discussion: Oral mucosal and amniotic membrane replace posterior lamella inferior palpebra grafting grow well and give good cosmetic in post wide excision melanoma maligna palpebral conjunctiva patient. A broad variety of techniques, materials and grafts have been used to replace ocular surface tissue. These combinations technic are suitable procedure for the replacement of the posterior lamella conjunctiva palpebral inferior in the treatment of conjunctival malignant melanoma.

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