Intrasphenoidal migration of a premaxillary Kirschner wire

Objective: The use of Kirschner wire for the fixation of premaxilla is a we ll-known method in bilateral cleft lip surgery. We report a case in which t he Kirschner wire of the premaxillary fixation had migrated intrasphenoidal ly. Results and Conclusions: The foreign body was accidentally discovered durin g a cephalometric analysis and was taken out surgically through an upper li p sulcus incision. Although the wire remained asymptomatic for 10 years, it constituted a potential danger for intracranial migration.