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Intrasphenoidal migration of a premaxillary Kirschner wire
A Kayikçioğlu1, S Karamüsel, E Mavili
1Department of Plastic and Reconstructive Surgery, Hacettepe University School of Medicine, Ankara, Turkey.
Summary
A Kirschner wire used in bilateral cleft lip surgery migrated into the sphenoid bone. Discovered incidentally, the asymptomatic wire was surgically removed, highlighting potential intracranial migration risks.
Area of Science:
- Craniofacial Surgery
- Pediatric Plastic Surgery
- Surgical Complications
Background:
- Kirschner wire fixation is a standard technique for premaxillary stabilization in bilateral cleft lip repair.
- Accurate placement is crucial to avoid complications.
- Long-term monitoring is essential for pediatric surgical interventions.
Observation:
- A case report detailing a migrated Kirschner wire following premaxillary fixation in a patient with bilateral cleft lip.
- The Kirschner wire migrated intrasphenoidally, a rare but significant complication.
- The migration was asymptomatic for 10 years before discovery.
Findings:
- The migrated Kirschner wire was incidentally discovered during a routine cephalometric analysis.
- Surgical removal was successfully performed via an upper lip sulcus incision.
- Despite being asymptomatic, the intrasphenoidally migrated wire posed a risk for intracranial migration.
Implications:
- Highlights the importance of vigilant post-operative monitoring in cleft lip surgery.
- Suggests potential risks associated with Kirschner wire migration, even when asymptomatic.
- Underscores the need for careful surgical technique and consideration of anatomical proximity to critical structures.