Michigan Breast Reconstruction Outcome Study (MBROS)
Abstract
Initiated in September of 1994 and continuing through 1999, the Michigan Breast Reconstruction Outcome Study (MBROS) was designed to prospectively compare the long-term outcomes of implant, pedicle TRAM and free TRAM breast reconstructions. 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 expander/implant reconstruction experienced a significantly greater increase in vitality, but a significantly smaller increase in satisfaction with the aesthetic results, than patients undergoing delayed TRAM procedures. No difference in the increase in vitality or aesthetic satisfaction was 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. These symmetry differences were significantly better in many groups. Furthermore, pedicle TRAM seemed to offer greater symmetry than free TRAM in all measured groups.
Document Details
- Document Type
- Technical Report
- Publication Date
- Sep 01, 1999
- Accession Number
- ADA382466
Entities
People
- Edwin G. Wilkins
Organizations
- University of Michigan