Michigan Breast Reconstruction Outcome Study (MBROS)
Final rept. 20 Jun 1994-15 May 2000
MICHIGAN UNIV ANN ARBOR
Pagination or Media Count:
Initiated in September of 1994 and continuing through 2000, the Michigan Breast Reconstruction Outcome Study MBROS was designed to prospectively compare the long-term outcomes of implant, pedicle TRAM and free TRAM breast reconstruction. Analysis of psychosocial, functional and aesthetic data has been ongoing. Analysis of the psychosocial data of 250 patients suggests that patients in all three surgical groups experienced a significant increase postoperatively in general mental health, emotional well being, and functional well being. No significant differences between the groups were identified. Patients undergoing delayed tissue expanderimplant reconstruction experienced a significantly greater increase in vitality, but significantly lower satisfaction with the aesthetic results, than patients undergoing delayed TRAM procedures. No differences in the increase in vitality or aesthetic satisfaction were observed between surgical groups for patients undergoing immediate reconstruction. In a preliminary analysis of objective methodologies for assessment of aesthetic outcomes, we found that TRAM pedicle and free reconstruction offered superior dimensional symmetry than implant reconstruction. Furthermore, pedicle TRAM seemed to offer greater symmetry than free TRAM in all measured groups.
- Anatomy and Physiology
- Medicine and Medical Research