Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Reconsidering the "MR Unsafe" breast tissue expander with magnetic infusion port: A case report and literature review

  • Dibbs, Rami (School of Medicine, Louisiana State University Health Sciences Center) ;
  • Culo, Bozena (Loyola Marymount University) ;
  • Tandon, Ravi (Division of Plastic & Reconstructive Surgery, Louisiana State University Health Sciences Center) ;
  • Hilaire, Hugo St. (Division of Plastic & Reconstructive Surgery, Louisiana State University Health Sciences Center) ;
  • Shellock, Frank G. (Keck School of Medicine, University of Southern California) ;
  • Lau, Frank H. (Division of Plastic & Reconstructive Surgery, Louisiana State University Health Sciences Center)
  • Received : 2018.12.02
  • Accepted : 2019.02.19
  • Published : 2019.07.15
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Abstract

Breast tissue expanders (TEs) with magnetic infusion ports are labeled "MR Unsafe." Therefore, patients with these implants are typically prevented from undergoing magnetic resonance imaging (MRI). We report a patient with a total submuscular breast TE who inadvertently underwent an MRI exam. She subsequently developed expander exposure, requiring explantation and autologous reconstruction. The safety profile of TEs with magnetic ports and the use of MRI in patients with these implants is surprisingly controversial. Therefore, we present our case report, a systematic literature review, and propose procedural guidelines to help ensure the safety of patients with TEs with magnetic ports that need to undergo MRI exams.

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References

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