Primary calvarial bone grafting in oro-ocular clefts

SummaryOro-ocular clefts were classified by Tessier as 3–11 or 4–10 facial clefts. These rare clefts require both bony and soft tissue correction and present a significant challenge to the innovative skill of the craniofacial surgeon.A review of three male children with oro-ocular clefts and their management (including surgical planning and operative treatment) is presented. We would propose that the use of calvarial bone grafting as part of the primary closure is regarded as desirable based on our experience.