Howard N. Langstein, M.D.

Howard N. Langstein, M.D.

Contact Information

University of Rochester Medical Center
School of Medicine and Dentistry
601 Elmwood Ave, Box 661
Rochester, NY 14642

Office: (585) 275-1000
Fax: (585) 276-1985

Journal Articles

Showing all 74 journal articles available.

2013 Nov
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." Annals of plastic surgery. 2013 Nov; 71(5):554-60.
2013 Oct
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." Plastic and reconstructive surgery. 2013 Oct; 132(4):691e-692e.
2013 Oct
Koltz PF, Frey JD, Langstein HN. "Insurance coverage and reduction mammaplasty: a systematic review of current health care policies." Plastic and reconstructive surgery. 2013 Oct; 132(4):692e-693e.
2012 Nov
Shaw RB, Katzel EB, Koltz PF, Kahn DM, Puzas EJ, Langstein HN. "Facial bone density: effects of aging and impact on facial rejuvenation." Aesthetic surgery journal. 2012 Nov; 32(8):937-42. Epub 2012 Sep 24.
2011 Sep
Sbitany H, Langstein HN. "Acellular dermal matrix in primary breast reconstruction." Aesthetic surgery journal. 2011 Sep; 31(7 Suppl):30S-7S.
2011 Jun
Katzel EB, Koltz PF, Tierney R, Williams JP, Awad HA, O'keefe RJ, Langstein HN. "The impact of Smad3 loss of function on TGF-? signaling and radiation-induced capsular contracture." Plastic and reconstructive surgery. 2011 Jun; 127(6):2263-9.
2011 May
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." Journal of orthopaedic research : official publication of the Orthopaedic Research Society. 2011 May; 29(5):684-93. Epub 2010 Sep 14.
2011 Mar
Hanasono MM, Langstein HN. "Extended Karapandzic flaps for near-total and total lower lip defects." Plastic and reconstructive surgery. 2011 Mar; 127(3):1199-205.
2011 Jan 15
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 research. 2011 Jan 15; 71(2):318-27. Epub 2011 Jan 11.
2011 Jan
Shaw RB, Katzel EB, Koltz PF, Yaremchuk MJ, Girotto JA, Kahn DM, Langstein HN. "Aging of the facial skeleton: aesthetic implications and rejuvenation strategies." Plastic and reconstructive surgery. 2011 Jan; 127(1):374-83.
2010 Nov
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." Plastic and reconstructive surgery. 2010 Nov; 126(5):1483-91.
2010 Sep
Sbitany H, Koltz PF, Girotto JA, Vega SJ, Langstein HN. "Assessment of donor-site morbidity following rectus femoris harvest for infrainguinal reconstruction." Plastic and reconstructive surgery. 2010 Sep; 126(3):933-40.
Shaw, R Jr; Katzel, E.; Koltz, P.; Kahn D.; Girotto, J.; Langstein H. "Aging of The Mandible and its Aestetic implications: A Three Dimensional CT Study". Plastic And Reconstructive Surgery. 2010; 1(125): 332-42.
Albino, FP.; Koltz, PF.; Ling, MN; Langstein HN. "Irradiated Autologous Breast Reconstructions: Effects of Patient Factors and Treatment Variables". Plastic and Reconstructive Surgery. 2010; .
Sbitany H, Koltz PF, Mays C, Girotto JA, Langstein HN. "CT contrast extravasation in the upper extremity: strategies for management." International journal of surgery. 2010 8(5):384-6. Epub 2010 Jun 10.
Katzel, Evan B; Koltz, Peter F; Awad, Hani A.; O'Keefe, Regis J; Williams, Jackie; Langstein, Howard N. "A Novel Animal Model to Study Capsular Contracture Utilizing Livescan MicroCT Technology." Plastic and Reconstr Surg. 2009; 4S(124): 19-20.
Shaw, R/Jr;Katzel, E.; Koltz P.;Kahn,D.; John Girotto; Langstein H. "Aging of the Mandible and its Aesthetic Implications: A Three Dimensional CT Study". Plast Reconstr Surg. 2009; 6(123): 10-142.
Sbitany H.; Koltz P; Girotto J; Langstein H. "Quadriceps Muscle Function Following Harvest Of The Rectus Femoris Muscle as a Pedicle Flap For Complecs Groin Wound Reconstruction". Plast Reconstr Surg. 2009; 6(123): 10-142.
Katzel, E.; Koltz, P.;Awad, H.; O' Keefe, R.;Williams, J.; Langstein, H. "A Novel Animal Model To Study Capsular Contracture Utilizing Livescan MicroCT technology". Plast Reconstr Surg. 2009; 6(123).
Katzel, E; Koltz, P.; Awad, H.; O'Keefe, R.; Williams, J.; Langstein, H. "A Novel Animal Model to Study Capsular Contracture Utilizing Livescan MicroCT Technology." Plastic And Reconstructive Surgery. 2009; 4S(124): 19-20.
Gusenoff, J.; Koltz, P.; O'Malley; William J.; Messing, S; Chen, R.; Langstein, H. "Breast Cancer And Bariatric Surgery:Temporal Relationships of Diagnosis, Treatment, and Reconstruction." Plastic And Reconstructive Surgery. 2009; 4(124): 1025-1032.
Sbitany, H.; Amalfi AN; Langstein HN. "Preferences in choosing between breast reconstruction options; a survey of female plastic surgeons". Plastic And Reconstructive Surgery. 2009; 6(124): 1781-1789.
Sbitany, H.; Sandeen SN; Amalfi AN; Davenport MS; Langstein H.;. "Acellular dermis-assisted prosthetic breast reconstruction versus complete submuscular coverage: a head-to-head comparison of outcomes." Plastic And Reconstructive Surgery. 2009; 6(124).
2008 Mar
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." Molecular therapy : the journal of the American Society of Gene Therapy. 2008 Mar; 16(3):466-73. Epub 2008 Jan 08.
2008 Feb
Marin V.P.; Pytynia K.B.; Langstein H.N. Dahlstrom K.R. Wei Q; Sturgis E.M. "Serum cotinine concentration and wound complications and in head and neck reconstruction." Plastic Reconstructive Surgery. 2008; 121(2): 451-7.
Gusenoff J.A. ; Messing S.; O'Malley W.; Langstein H.N. "Patterns of pastic surgical use after gastric bypass: who can afford it and will return for more." Plastic Reconstructive Surgery. 2008; 122(3): 951-8.
Gusenoff J.A.; Pennino R.P.; Messing S.; O'Malley W.E. Boss T.J.; Langstein H.N. "Post-bariatric surgery reconstruction: patients myths perceptions, cost, and attainability strategies." Plastic Reconstructive Surgery. 2008; 122(1): 1e-9e.
Gusenoff J.A.; Messing S.; O'Malley W.; Langstein H.N. "Temporal and demographic factors influencing the desire for plastic surgery after gastric bypass surgery." Plastic Reconstructive Surgery. 2008; 121(6): 2120-6.
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." Plastic Reconstructive Surgery. 2008; 3(122): 951-958.
2007 Jan
Miller RB, Reece G, Kroll SS, Chang D, Langstein H, Ziogas A, Robb G, Evans GR. "Microvascular breast reconstruction in the diabetic patient." Plastic and reconstructive surgery. 2007 Jan; 119(1):38-45; discussion 46-8.
2006 Nov 1
Saint-Cyr M, Langstein HN. "Reconstruction of the hand and upper extremity after tumor resection." Journal of surgical oncology. 2006 Nov 1; 94(6):490-503.
2006 Sep
Sabin B. Motwani; Eric A. Strom; Naomi R. Schechter; Charles E. Butler; Gordon K. Lee; Howard N. Langstein; Steven J. Kronowitz, Funda Meric-Bernstam; NuhadK. Ibrahim; Thomas A Buchholz. "The impact of immediate breast reconstruction on the technical delivery of postmastectomy radiotherapy". Int J radiat Biol Phys. 2006; : 76.
2006 Sep
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." Annals of surgical oncology. 2006 Sep; 13(9):1209-15. Epub 2006 Sep 03.
2005 Oct
Butler CE, Langstein HN, Kronowitz SJ. "Pelvic, abdominal, and chest wall reconstruction with AlloDerm in patients at increased risk for mesh-related complications." Plastic and reconstructive surgery. 2005 Oct; 116(5):1263-75; discussion 1276-7.
2005 Jan
Temple CL, Strom EA, Youssef A, Langstein HN. "Choice of recipient vessels in delayed TRAM flap breast reconstruction after radiotherapy." Plastic and reconstructive surgery. 2005 Jan; 115(1):105-13.
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 Oncl. 2005; 28(5): 485-494.
Langstein, H.N.; and G.L. Robb. ""Lip and Perioral Reconstruction."". Clin Plastic Surgery. 2005; 32(3): 431-435.
2004 Feb
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." American journal of surgery. 2004 Feb; 187(2):164-9.
Cormier JN, Langstein HN, Pisters PW. "Preoperative therapy for soft tissue sarcoma." Cancer treatment and research. 2004 120:43-63.
2003 Feb
Langstein HN, Cheng MH, Singletary SE, Robb GL, Hoy E, Smith TL, Kroll SS. "Breast cancer recurrence after immediate reconstruction: patterns and significance." Plastic and reconstructive surgery. 2003 Feb; 111(2):712-20; discussion 721-2.
Shvartsman, HS; Langstein, HN; Malpica, A; Worley, C. "Use of V.A.C. on Recurrent Pagets Disease of the Vulva". Obstetrics and Gynecology. 2003; 105(5 Pt. 2): 1163-1166.
Chang, DW; Langstein, HN. "Use of the free fibula flap for restoration of orbital support and midfacial projection following maxillectomy". Reconstr Microsurg. 2003; 19(3): 147-152.
Keleher AJ, Langstein HN, Ames FC, Ross MI, Chang DW, Reece GP, Singletary SE. "Breast cancer in reduction mammaplasty specimens: case reports and guidelines." The breast journal. 2003 9(2):120-5.
2002 Oct
Langstein HN, Duman H, Seelig D, Butler CE, Evans GR. "Retrospective study of the management of chemotherapeutic extravasation injury." Annals of plastic surgery. 2002 Oct; 49(4):369-74.
2002 May
Scevola S, Youssef A, Kroll SS, Langstein H. "Drains and seromas in TRAM flap breast reconstruction." Annals of plastic surgery. 2002 May; 48(5):511-4.
2002 Jan
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." Plastic and reconstructive surgery. 2002 Jan; 109(1):152-9.
Sadrian, R; Niederbichler, AD; Friedman, J; Miller, R; Chang, DW; Kroll, S; Miller, MJ; Reece, GP; Langstein, HN; Robb, GL; Evans, GRD. "Intra-Arterial Chemotherapy: The Effects on Free Tissue Transfer". Reconstr Microsurg. 2002; : 221. Link
2001 Jun
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?" Annals of plastic surgery. 2001 Jun; 46(6):601-4.
2001 May
Chang DW, Langstein HN, Gupta A, De Monte F, Do KA, Wang X, Robb G. "Reconstructive management of cranial base defects after tumor ablation." Plastic and reconstructive surgery. 2001 May; 107(6):1346-55; discussion 1356-7.
2001 May
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." Plastic and reconstructive surgery. 2001 May; 107(6):1413-6; discussion 1417-8.
2001 Apr
Langstein HN, Chang DW, Robb GL. "Coverage of skull base defects." Clinics in plastic surgery. 2001 Apr; 28(2):375-87, x.
2001 Mar
Kroll SS, Miller MJ, Chung DC, Butler C, Reece GP, Robb GL, Langstein HN. "Comparison of the costs of DIEP and TRAM flaps." Plastic and reconstructive surgery. 2001 Mar; 107(3):883-4.
2001 Feb
Kroll SS, Sharma S, Koutz C, Langstein HN, Evans GRD , Robb GL, Chang DW, Reece GP. "Postoperative morphine requirements of free TRAM and DIEP flaps." Plastic and reconstructive surgery. 2001 Feb; 107(2):338-41.
2001 Feb
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." Plastic and reconstructive surgery. 2001 Feb; 107(2):352-5.
2001 Jan
Chong J, Chan LL, Langstein HN, Ginsberg LE. "MR imaging of the muscular component of myocutaneous flaps in the head and neck." AJNR. American journal of neuroradiology. 2001 Jan; 22(1):170-4.
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; 110(4): 367-376.
2000 Nov
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." Annals of plastic surgery. 2000 Nov; 45(5):477-80.
2000 Jun
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." Plastic and reconstructive surgery. 2000 Jun; 105(7):2374-80.
2000 Jun
Miles WK, Chang DW, Kroll SS, Miller MJ, Langstein HN, Reece GP, Evans GR, Robb GL. "Reconstruction of large sacral defects following total sacrectomy." Plastic and reconstructive surgery. 2000 Jun; 105(7):2387-94.
2000 Apr
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." Plastic and reconstructive surgery. 2000 Apr; 105(5):1640-8.
Reece, G.P.; S.S. Kroll; Miller MJ; Evans GRD; Chang DW; Langstein HN; Robb GL; Wang BG;. ""Functional Results After Oropharyngeal Reconstruction: A Different Perspective."". Archives of Otolaryngol Head and Neck Surgery. 1999; 125(4): 474-477.
1997 Nov
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." Plastic and reconstructive surgery. 1997 Nov; 100(6):1475-81.
1997 Feb
Langstein HN, Zide BM. "How to use a gel template for an exact facial flap transfer." Plastic and reconstructive surgery. 1997 Feb; 99(2):556-8.
1992 Feb
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." Surgical oncology. 1992 Feb; 1(1):1-9.
Jensen, JC; Progrebniac, HW; Pass, HI; Buresh, CM; Marino, MJ; Kaufman, D; Venzon, D; Langstein, HN; Norton, JA. "Role of Tumor Necrosis Factor in Oxygen Toxicity". Appl Physiol. 1992; : 1902-1907. Link
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". Immunol. 1992; : 1666-1670. Link
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 112(6):1033-7; discussion 1037-8.
1991 Nov
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." Infection and immunity. 1991 Nov; 59(11):3889-94.
1991 Jul
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." The Journal of clinical investigation. 1991 Jul; 88(1):34-9.
1991 May 1
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 research. 1991 May 1; 51(9):2302-6.
1990 Jul 1
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 research. 1990 Jul 1; 50(13):3928-33.
Alexander, HR; Langstein, HN; Doherty, GM; Jensen, JC; Norton, JA. "Human Tumor Necrosis Factor Protection Against Endotoxin Induced Shock and Lethality in the Rat". Surgical Forum. 1990; : 103-105. Link
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 108(6):1109-15; discussion 1115-6.
1989 Sep 1
Fraker DL, Langstein HN, Norton JA. "Passive immunization against tumor necrosis factor partially abrogates interleukin 2 toxicity." The Journal of experimental medicine. 1989 Sep 1; 170(3):1015-20.


Langstein, HN. "Comparison of Tissue Exapander Reconstruction With and Without Acellular Dermal Matrix". Inovations in Plastic Surgery. : Quality Meical Publishing, 2010.
Langstein HN. "Reconstruction of Extensive Lip Defects". Operative Techniques in Otolaryngology-Head and Neck Surgery. : Singletary E (Ed), 2005.
Langstein HN. "Management of Local Recurrence in the Reconstructed Breast". Advanced Therapy of Breast Disease. : Singletary E (Ed), 2004.
Langstein HN. "Teaching Microsurgery in Western Academic Centers and in the Developing World". Seminars in Plastic Surgery. : Shenaq SM (Ed), 2003.
Langstein HN. "Gastrocnemius Flap for Proximal Leg Reconstruction". Operative Plastic Surgery. : Evans GRD (Ed), 2000.
Langstein HN. "Scapular Osseous Flap". Operative Plastic Surgery. : Evans GRD (Ed), 2000.