Effect of magnetic resonance imaging on a new electromagnetic implantable middle ear hearing device.
OBJECTIVE
A 1.5-T magnetic resonance imager has been shown to be contraindicated for use in patients with pacemakers, cochlear implants, and neurostimulators. Our semi-implantable middle ear device uses a new adhesive bone cement. 4-META/MMA-TBB, for cementation of a 29-mg titanium-encased neodymium-iron-boron (NdFeB) magnet to the incus.


METHODS
Five NdFeB magnets and four solid titanium cylinders were cemented onto the incus of five preserved human temporal bones and two cadaver heads. They were all inserted into a magnetic resonance imager and evaluated for possible disruption.


RESULTS
Owing to the magnetic torque, the three magnets on the temporal bone were disrupted from the incus. The two cylinders on the temporal bones and the two cylinders and two magnets on the whole heads were not affected. The magnetic resonance imaging field did not affect the coercive force of the NdFeB magnets.


CONCLUSIONS
The large torque produced by a magnetic resonance imager may disrupt the magnet-cement and cement-incus interfaces, causing dislodgement. We postulate that patients with implantable magnets on the incus should not undergo magnetic resonance imaging testing.
Hunyadi
S
S
Department of Otolaryngology-Head and Neck Surgery, Case Western Reserve University, University Hospitals of Cleveland, OH 44106-5045, USA.
Werning
J W
JW
Lewin
J S
JS
Maniglia
A J
AJ
D003054:Cochlear Implants; D004432:Ear, Middle / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000009:adverse effects*