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Howard Langstein

TitleProfessor
InstitutionSchool of Medicine and Dentistry
DepartmentSurgery
AddressUniversity of Rochester Medical Center
School of Medicine and Dentistry
601 Elmwood Ave, Box 661
Rochester NY 14642
 
 Awards And Honors
1981     B. S. with Honors and Distinction
1981     Alpha Epsilon Delta Premedical Honor Society Scholarship
2002     Houston's Top Doctors  | Inside Houston Magazine
2004     Educator Of The Month
2004     America's Top Surgeons
2004     Multi-year M. D  | Anderson Academic Appointment
2008 - 2010Best Doctors Award
2008 - 2013Top Doctors  | Castle Conolly Medical Ltd
2009     Plastic Surgical Educator of the year
2010     2009 Patient' Choice Award
2010 - 2011Plastic Surgery Residents Mentorship Award  | Vincent F. Reale MD
 
 Overview
Howard N. Langstein, M.D., is the Chief of Plastic and Reconstructive Surgery at the University of Rochester Medical Center, bringing a wealth of experience to the Rochester area, particularly in microvascular reconstruction. Microvascular procedures are surgeries done through microscopes involving very small blood vessels, often used in reconstruction after cancer treatment.

Langstein came to Rochester, NY from the University of Texas M.D. Anderson Cancer Center in Houston where he most recently served as associate professor of Plastic Surgery and director of the Department of Plastic Surgery Graduate Medical Education Programs. In addition to microvascular reconstruction expertise, Langstein has special interest in breast, head and neck surgery, as well as cosmetic procedures.

In the mid-1990s, Langstein served in various surgical positions at Mercy Hospital and the University of Pittsburgh. He returned to Houston in 1998 where he was eventually promoted to associate professor at M.D. Anderson and named director of one of the world's preeminent microsurgical training programs.

 
 Selected Publications
List All   |   Timeline
  1. Frey JD, Koltz PF, Bell DE, Langstein HN. The complex insurance reimbursement landscape in reduction mammaplasty: how does the american plastic surgeon navigate it? Ann Plast Surg. 2014 Jan; 72(1):23-9.
    View in: PubMed
  2. Koltz PF, Frey JD, Bell DE, Girotto JA, Christiano JG, Langstein HN. Evolution of abdominal wall reconstruction: development of a unified algorithm with improved outcomes. Ann Plast Surg. 2013 Nov; 71(5):554-60.
    View in: PubMed
  3. Koltz PF, Frey JD, Langstein HN. The use of human acellular dermal matrix in the first stage of implant-based breast reconstruction simplifies the exchange procedure. Plast Reconstr Surg. 2013 Oct; 132(4):691e-2e.
    View in: PubMed
  4. Koltz PF, Frey JD, Langstein HN. Insurance coverage and reduction mammaplasty: a systematic review of current health care policies. Plast Reconstr Surg. 2013 Oct; 132(4):692e-3e.
    View in: PubMed
  5. Shaw RB, Katzel EB, Koltz PF, Kahn DM, Puzas EJ, Langstein HN. Facial bone density: effects of aging and impact on facial rejuvenation. Aesthet Surg J. 2012 Nov 1; 32(8):937-42.
    View in: PubMed
  6. Sbitany H, Langstein HN. Acellular dermal matrix in primary breast reconstruction. Aesthet Surg J. 2011 Sep; 31(7 Suppl):30S-7S.
    View in: PubMed
  7. Katzel EB, Koltz PF, Tierney R, Williams JP, Awad HA, O'keefe RJ, Langstein HN. The impact of Smad3 loss of function on TGF-ß signaling and radiation-induced capsular contracture. Plast Reconstr Surg. 2011 Jun; 127(6):2263-9.
    View in: PubMed
  8. Hanasono MM, Langstein HN. Extended Karapandzic flaps for near-total and total lower lip defects. Plast Reconstr Surg. 2011 Mar; 127(3):1199-205.
    View in: PubMed
  9. Banerjee S, Lin CF, Skinner KA, Schiffhauer LM, Peacock J, Hicks DG, Redmond EM, Morrow D, Huston A, Shayne M, Langstein HN, Miller-Graziano CL, Strickland J, O'Donoghue L, De AK. Heat shock protein 27 differentiates tolerogenic macrophages that may support human breast cancer progression. Cancer Res. 2011 Jan 15; 71(2):318-27.
    View in: PubMed
  10. Shaw RB, Katzel EB, Koltz PF, Yaremchuk MJ, Girotto JA, Kahn DM, Langstein HN. Aging of the facial skeleton: aesthetic implications and rejuvenation strategies. Plast Reconstr Surg. 2011 Jan; 127(1):374-83.
    View in: PubMed
  11. Katzel EB, Koltz PF, Tierney R, Williams JP, Awad HA, O'Keefe RJ, Langstein HN. A novel animal model for studying silicone gel-related capsular contracture. Plast Reconstr Surg. 2010 Nov; 126(5):1483-91.
    View in: PubMed
  12. Katzel EB, Wolenski M, Loiselle AE, Basile P, Flick LM, Langstein HN, Hilton MJ, Awad HA, Hammert WC, O'Keefe RJ. Impact of Smad3 loss of function on scarring and adhesion formation during tendon healing. J Orthop Res. 2011 May; 29(5):684-93.
    View in: PubMed
  13. Sbitany H, Koltz PF, Girotto JA, Vega SJ, Langstein HN. Assessment of donor-site morbidity following rectus femoris harvest for infrainguinal reconstruction. Plast Reconstr Surg. 2010 Sep; 126(3):933-40.
    View in: PubMed
  14. Albino FP, Koltz PF, Ling MN, Langstein HN. Irradiated autologous breast reconstructions: effects of patient factors and treatment variables. Plast Reconstr Surg. 2010 Jul; 126(1):12-6.
    View in: PubMed
  15. Sbitany H, Koltz PF, Mays C, Girotto JA, Langstein HN. CT contrast extravasation in the upper extremity: strategies for management. Int J Surg. 2010; 8(5):384-6.
    View in: PubMed
  16. Shaw RB, Katzel EB, Koltz PF, Kahn DM, Girotto JA, Langstein HN. Aging of the mandible and its aesthetic implications. Plast Reconstr Surg. 2010 Jan; 125(1):332-42.
    View in: PubMed
  17. Sbitany H, Sandeen SN, Amalfi AN, Davenport MS, Langstein HN. Acellular dermis-assisted prosthetic breast reconstruction versus complete submuscular coverage: a head-to-head comparison of outcomes. Plast Reconstr Surg. 2009 Dec; 124(6):1735-40.
    View in: PubMed
  18. Sbitany H, Amalfi AN, Langstein HN. Preferences in choosing between breast reconstruction options: a survey of female plastic surgeons. Plast Reconstr Surg. 2009 Dec; 124(6):1781-9.
    View in: PubMed
  19. Gusenoff JA, Koltz PF, O'Malley WJ, Messing S, Chen R, Langstein HN. Breast cancer and bariatric surgery: temporal relationships of diagnosis, treatment, and reconstruction. Plast Reconstr Surg. 2009 Oct; 124(4):1025-32.
    View in: PubMed
  20. Gusenoff JA, Messing S, O'Malley W, Langstein HN. Patterns of plastic surgical use after gastric bypass: who can afford it and who will return for more. Plast Reconstr Surg. 2008 Sep; 122(3):951-8.
    View in: PubMed
  21. Gusenoff JA, Pennino RP, Messing S, O'Malley WE, Boss TJ, Langstein HN. Post-bariatric surgery reconstruction: patient myths, perceptions, cost, and attainability strategies. Plast Reconstr Surg. 2008 Jul; 122(1):1e-9e.
    View in: PubMed
  22. Gusenoff JA, Messing S, O'Malley W, Langstein HN. Temporal and demographic factors influencing the desire for plastic surgery after gastric bypass surgery. Plast Reconstr Surg. 2008 Jun; 121(6):2120-6.
    View in: PubMed
  23. Marin VP, Pytynia KB, Langstein HN, Dahlstrom KR, Wei Q, Sturgis EM. Serum cotinine concentration and wound complications in head and neck reconstruction. Plast Reconstr Surg. 2008 Feb; 121(2):451-7.
    View in: PubMed
  24. Basile P, Dadali T, Jacobson J, Hasslund S, Ulrich-Vinther M, Søballe K, Nishio Y, Drissi MH, Langstein HN, Mitten DJ, O'Keefe RJ, Schwarz EM, Awad HA. Freeze-dried tendon allografts as tissue-engineering scaffolds for Gdf5 gene delivery. Mol Ther. 2008 Mar; 16(3):466-73.
    View in: PubMed
  25. Miller RB, Reece G, Kroll SS, Chang D, Langstein H, Ziogas A, Robb G, Evans GR. Microvascular breast reconstruction in the diabetic patient. Plast Reconstr Surg. 2007 Jan; 119(1):38-45; discussion 46-8.
    View in: PubMed
  26. Saint-Cyr M, Langstein HN. Reconstruction of the hand and upper extremity after tumor resection. J Surg Oncol. 2006 Nov 1; 94(6):490-503.
    View in: PubMed
  27. Tseng JF, Ballo MT, Langstein HN, Wayne JD, Cormier JN, Hunt KK, Feig BW, Yasko AW, Lewis VO, Lin PP, Cannon CP, Zagars GK, Pollock RE, Pisters PW. The effect of preoperative radiotherapy and reconstructive surgery on wound complications after resection of extremity soft-tissue sarcomas. Ann Surg Oncol. 2006 Sep; 13(9):1209-15.
    View in: PubMed
  28. Motwani SB, Strom EA, Schechter NR, Butler CE, Lee GK, Langstein HN, Kronowitz SJ, Meric-Bernstam F, Ibrahim NK, Buchholz TA. The impact of immediate breast reconstruction on the technical delivery of postmastectomy radiotherapy. Int J Radiat Oncol Biol Phys. 2006 Sep 1; 66(1):76-82.
    View in: PubMed
  29. Schechter NR, Strom EA, Perkins GH, Arzu I, McNeese MD, Langstein HN, Kronowitz SJ, Meric-Bernstam F, Babiera G, Hunt KK, Hortobagyi GN, Buchholz TA. Immediate breast reconstruction can impact postmastectomy irradiation. Am J Clin Oncol. 2005 Oct; 28(5):485-94.
    View in: PubMed
  30. Butler CE, Langstein HN, Kronowitz SJ. Pelvic, abdominal, and chest wall reconstruction with AlloDerm in patients at increased risk for mesh-related complications. Plast Reconstr Surg. 2005 Oct; 116(5):1263-75; discussion 1276-7.
    View in: PubMed
  31. Langstein HN, Robb GL. Lip and perioral reconstruction. Clin Plast Surg. 2005 Jul; 32(3):431-45, viii.
    View in: PubMed
  32. Temple CL, Strom EA, Youssef A, Langstein HN. Choice of recipient vessels in delayed TRAM flap breast reconstruction after radiotherapy. Plast Reconstr Surg. 2005 Jan; 115(1):105-13.
    View in: PubMed
  33. Chagpar A, Langstein HN, Kronowitz SJ, Singletary SE, Ross MI, Buchholz TA, Hunt KK, Kuerer HM. Treatment and outcome of patients with chest wall recurrence after mastectomy and breast reconstruction. Am J Surg. 2004 Feb; 187(2):164-9.
    View in: PubMed
  34. Cormier JN, Langstein HN, Pisters PW. Preoperative therapy for soft tissue sarcoma. Cancer Treat Res. 2004; 120:43-63.
    View in: PubMed
  35. Shvartsman HS, Langstein H, Worley C, Malpica A, Ramondetta LM. Use of a vacuum-assisted closure device in the treatment of recurrent Paget's disease of the vulva. Obstet Gynecol. 2003 Nov; 102(5 Pt 2):1163-6.
    View in: PubMed
  36. Chang DW, Langstein HN. Use of the free fibula flap for restoration of orbital support and midfacial projection following maxillectomy. J Reconstr Microsurg. 2003 Apr; 19(3):147-52.
    View in: PubMed
  37. Keleher AJ, Langstein HN, Ames FC, Ross MI, Chang DW, Reece GP, Singletary SE. Breast cancer in reduction mammaplasty specimens: case reports and guidelines. Breast J. 2003 Mar-Apr; 9(2):120-5.
    View in: PubMed
  38. Langstein HN, Cheng MH, Singletary SE, Robb GL, Hoy E, Smith TL, Kroll SS. Breast cancer recurrence after immediate reconstruction: patterns and significance. Plast Reconstr Surg. 2003 Feb; 111(2):712-20; discussion 721-2.
    View in: PubMed
  39. Langstein HN, Duman H, Seelig D, Butler CE, Evans GR. Retrospective study of the management of chemotherapeutic extravasation injury. Ann Plast Surg. 2002 Oct; 49(4):369-74.
    View in: PubMed
  40. Scevola S, Youssef A, Kroll SS, Langstein H. Drains and seromas in TRAM flap breast reconstruction. Ann Plast Surg. 2002 May; 48(5):511-4.
    View in: PubMed
  41. Langstein HN, Chang DW, Miller MJ, Evans GR, Reece GP, Kroll SS, Robb GL. Limb salvage for soft-tissue malignancies of the foot: an evaluation of free-tissue transfer. Plast Reconstr Surg. 2002 Jan; 109(1):152-9.
    View in: PubMed
  42. Yii NW, Evans GR, Miller MJ, Reece GP, Langstein H, Chang D, Kroll SS, Wang B, Robb GL. Thrombolytic therapy: what is its role in free flap salvage? Ann Plast Surg. 2001 Jun; 46(6):601-4.
    View in: PubMed
  43. Kroll SS, Reece GP, Miller MJ, Robb GL, Langstein HN, Butler CE, Chang DW. Comparison of cost for DIEP and free TRAM flap breast reconstructions. Plast Reconstr Surg. 2001 May; 107(6):1413-6; discussion 1417-8.
    View in: PubMed
  44. Chang DW, Langstein HN, Gupta A, De Monte F, Do KA, Wang X, Robb G. Reconstructive management of cranial base defects after tumor ablation. Plast Reconstr Surg. 2001 May; 107(6):1346-55; discussion 1356-7.
    View in: PubMed
  45. Langstein HN, Chang DW, Robb GL. Coverage of skull base defects. Clin Plast Surg. 2001 Apr; 28(2):375-87, x.
    View in: PubMed
  46. Spring PM, Myers JN, El-Naggar AK, Langstein HN. Malignant melanoma arising within a burn scar case report and review of the literature. Ann Otol Rhinol Laryngol. 2001 Apr; 110(4):369-76.
    View in: PubMed
  47. Kroll SS, Miller MJ, Chung DC, Butler C, Reece GP, Robb GL, Langstein HN. Comparison of the costs of DIEP and TRAM flaps. Plast Reconstr Surg. 2001 Mar; 107(3):883-4.
    View in: PubMed
  48. Kroll SS, Sharma S, Koutz C, Langstein HN. Postoperative morphine requirements of free TRAM and DIEP flaps. Plast Reconstr Surg. 2001 Feb; 107(2):338-41.
    View in: PubMed
  49. Sharma S, Chang DW, Koutz C, Evans GR, Robb GL, Langstein HN, Kroll SS. Incidence of hematoma associated with ketorolac after TRAM flap breast reconstruction. Plast Reconstr Surg. 2001 Feb; 107(2):352-5.
    View in: PubMed
  50. Chong J, Chan LL, Langstein HN, Ginsberg LE. MR imaging of the muscular component of myocutaneous flaps in the head and neck. AJNR Am J Neuroradiol. 2001 Jan; 22(1):170-4.
    View in: PubMed
  51. Duman H, Evans GR, Reece G, Kroll SS, Miller M, Langstein H, Chang D, Butler C, Robb G. Brachytherapy: reconstructive options and the role of plastic surgery. Ann Plast Surg. 2000 Nov; 45(5):477-80.
    View in: PubMed
  52. Chang DW, Reece GP, Wang B, Robb GL, Miller MJ, Evans GR, Langstein HN, Kroll SS. Effect of smoking on complications in patients undergoing free TRAM flap breast reconstruction. Plast Reconstr Surg. 2000 Jun; 105(7):2374-80.
    View in: PubMed
  53. Miles WK, Chang DW, Kroll SS, Miller MJ, Langstein HN, Reece GP, Evans GR, Robb GL. Reconstruction of large sacral defects following total sacrectomy. Plast Reconstr Surg. 2000 Jun; 105(7):2387-94.
    View in: PubMed
  54. Chang DW, Wang B, Robb GL, Reece GP, Miller MJ, Evans GR, Langstein HN, Kroll SS. Effect of obesity on flap and donor-site complications in free transverse rectus abdominis myocutaneous flap breast reconstruction. Plast Reconstr Surg. 2000 Apr; 105(5):1640-8.
    View in: PubMed
  55. Langstein HN, Robb GL. Reconstructive approaches in soft tissue sarcoma. Semin Surg Oncol. 1999 Jul-Aug; 17(1):52-65.
    View in: PubMed
  56. Reece GP, Kroll SS, Miller MJ, Evans GR, Chang DW, Langstein HN, Robb GL, Wang B, Goepfert H. Functional results after oropharyngeal reconstruction: a different perspective. Arch Otolaryngol Head Neck Surg. 1999 Apr; 125(4):474-7.
    View in: PubMed
  57. Evans GR, Gherardini G, Gürlek A, Langstein H, Joly GA, Cromeens DM, Sukumaran AV, Williams J, Kilbourn RG, Wang B, Lundeberg T. Drug-induced vasodilation in an in vitro and in vivo study: the effects of nicardipine, papaverine, and lidocaine on the rabbit carotid artery. Plast Reconstr Surg. 1997 Nov; 100(6):1475-81.
    View in: PubMed
  58. Langstein HN, Zide BM. How to use a gel template for an exact facial flap transfer. Plast Reconstr Surg. 1997 Feb; 99(2):556-8.
    View in: PubMed
  59. Lange JR, Steinberg SM, Doherty GM, Langstein HN, White DE, Shawker TH, Eastman RC, Jensen RT, Norton JA. A randomized, prospective trial of postoperative somatostatin analogue in patients with neuroendocrine tumors of the pancreas. Surgery. 1992 Dec; 112(6):1033-7; discussion 1037-8.
    View in: PubMed
  60. Doherty GM, Lange JR, Langstein HN, Alexander HR, Buresh CM, Norton JA. Evidence for IFN-gamma as a mediator of the lethality of endotoxin and tumor necrosis factor-alpha. J Immunol. 1992 Sep 1; 149(5):1666-70.
    View in: PubMed
  61. Jensen JC, Pogrebniak HW, Pass HI, Buresh C, Merino MJ, Kauffman D, Venzon D, Langstein HN, Norton JA. Role of tumor necrosis factor in oxygen toxicity. J Appl Physiol. 1992 May; 72(5):1902-7.
    View in: PubMed
  62. Fraker DL, Thom AK, Doherty GM, Langstein HN, Buresh CM, Norton JA. Tumour necrosis factor mediates the survival benefit of interleukin 2 in a murine pulmonary metastases model. Surg Oncol. 1992 Feb; 1(1):1-9.
    View in: PubMed
  63. Alexander HR, Doherty GM, Block MI, Kragel PJ, Jensen JC, Langstein HN, Walker E, Norton JA. Single-dose tumor necrosis factor protection against endotoxin-induced shock and tissue injury in rats. Infect Immun. 1991 Nov; 59(11):3889-94.
    View in: PubMed
  64. Alexander HR, Sheppard BC, Jensen JC, Langstein HN, Buresh CM, Venzon D, Walker EC, Fraker DL, Stovroff MC, Norton JA. Treatment with recombinant human tumor necrosis factor-alpha protects rats against the lethality, hypotension, and hypothermia of gram-negative sepsis. J Clin Invest. 1991 Jul; 88(1):34-9.
    View in: PubMed
  65. Langstein HN, Doherty GM, Fraker DL, Buresh CM, Norton JA. The roles of gamma-interferon and tumor necrosis factor alpha in an experimental rat model of cancer cachexia. Cancer Res. 1991 May 1; 51(9):2302-6.
    View in: PubMed
  66. Langstein HN, Norton JA. Mechanisms of cancer cachexia. Hematol Oncol Clin North Am. 1991 Feb; 5(1):103-23.
    View in: PubMed
  67. Langstein HN, Norton JA, Chiang V, O'Dorisio TM, Maton PN, Marx SJ, Jensen RT. The utility of circulating levels of human pancreatic polypeptide as a marker for islet cell tumors. Surgery. 1990 Dec; 108(6):1109-15; discussion 1115-6.
    View in: PubMed
  68. Sheppard BC, Venzon D, Fraker DL, Langstein HN, Jensen JC, Norton JA. Prolonged survival of tumor-bearing rats with repetitive low-dose recombinant tumor necrosis factor. Cancer Res. 1990 Jul 1; 50(13):3928-33.
    View in: PubMed
  69. Fraker DL, Langstein HN, Norton JA. Passive immunization against tumor necrosis factor partially abrogates interleukin 2 toxicity. J Exp Med. 1989 Sep 1; 170(3):1015-20.
    View in: PubMed

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