Brian I.  Labow , MD


Office Phone: 617-355-4964
Appointment Line: 617-355-4964
Fax: 617-738-1657
NPI: 1700844735

Departments/Divisions

Specialties

breast surgery
facial reanimation
hand surgery
plastic surgery
reconstructive microsurgery

Services/Programs

Certifications

Plastic Surgery, Surgery, Hand Surgery

Expanded Biography

I joined the department of Plastic surgery at Childrens Hospital Boston (CHB) in 2004. I dedicate 60% of my time to clinical work with children who have complex reconstructive problems such as congenital limb malformations, post-traumatic and post-oncologic craniofacial deformities and adolescent breast disorders. I spend 25% of my time conducting clinical research on hand and pediatric plastic surgical projects that parallel and inform my clinical practice. Since 2006, I have spent 15% of my time in the capacity of residency directory within the department of plastic surgery orienting, teaching and mentoring 17 rotating residents per year. From a clinical perspective, I frequently collaborate with other sub-specialty surgeons to design reconstructive solutions to problems as diverse as skull-base or craniofacial malignancies, congenital genitourinary anomalies or extremity traumas. One of my recent cases of a phallic auto-transplantation was nominated by the American Society for Reconstructive Microsurgery for Best Microsurgical Case of 2008. In the past 2 years, I have authored several papers highlighting novel techniques within microsurgical scalp and pediatric microsurgery and have taught an instructional course in the use of vascularized fascial flaps in upper extremity reconstruction at the American Society of Reconstructive Microsurgery meeting. My interest in post-traumatic and congenital hand anomalies has led to the development of a research program that will be a wellspring for future genetic and translational studies. Because of the association between congenital thumb anomalies and the bone marrow failure syndrome Fanconi anemia (FA), I have joined with Dr. David Williams, Chief of Hematology at CHB as part of a new 12 physician multi-disciplinary FA clinic. I am principle investigator on two IRB-approved projects dealing with FA in the congenital hand population: the projects involve the construction of a relational database of 2000 congenital hand patients treated at CHB, uncovering the complete phenotypic spectrum of these anomalies in probands as well as the incidence of associated hemataologic anomalies, such as FA. This database will then be the foundation for a prospective study of a novel screening test for FA in children with congenital hand anomalies, as this population appears to be at higher risk for the development of this devastating hematologic malignancy. In the past two years, I have been first or senior author on 4 original articles related to hand surgery and one book chapter related to congenital hand anomalies. I am a member of the editorial board of the journal HAND. In 2007, I initiated the Adolescent Breast Clinic at CHB, the first center of its kind in the United States. This multi-disciplinary center includes clinicians from plastic surgery, adolescent medicine, endocrinology, general surgery and nutrition and now attracts regional and national referrals to CHB. I am currently PI on 2 IRB-approved prospective and retrospective clinical research studies analyzing outcomes of surgical and non-surgical treatment of adolescent breast disorders. We have a grant pending from the Plastic Surgery Educational Foundation and I am senior or first author on three manuscripts on adolescent breast disorders currently in preparation. Since becoming residency director in 2006, I have established a curriculum in pediatric plastic surgery for all residents rotating through CHB. In addition to teaching in the operating room and clinic, I meet with every resident to discuss performance and areas for improvement. I have joined the Academy at CHB and will be developing a simulator-based training module for residents and fellows in plastic surgery. In summary, my interests and expertise in pediatric plastic surgery along with the wealth of resources at CHB and Harvard Medical School have allowed me to develop an innovative academic practice with novel research initiatives. Past Research Projects 1987-1988 PI: Canadian Heart and Stroke Foundation Research, Thrombogenicity of Biomaterials, Jarvik Artificial Heart 1996-1998 PI: Churchill Fellowship Research, Glutamine Synthesis During Stress-The goal of this project was to study the transcriptional

College

B.A., M.A., Biochemistry, Brandeis University, Boston, MA  (1989)

Medical School

M.D., Harvard University, Boston, MA  (1993)

Internship

General Surgery, Massachusetts General Hospital, Boston, MA

Residencies

Massachusetts General Hospital, Boston, MA
Harvard Plastic Surgery Training Program, Boston, MA

Fellowships

Adult Reconstructive and Microsurgery, Beth Israel Deaconess Medical Center, Boston, MA
Pediatric Hand and Microsurgery, Boston Children's Hospital, Boston, MA

Societies

Active Member
American Society of Reconstructive Microsurgery
Active member
American Society of Plastic Surgeons
Member
American Association of Hand Surgery
Fellow
American College of Surgeons
Member
American Society for Surgery of the Hand

Professional Organizations

Member
The Academy of Childrens Hospital

Awards

Summa Cum Laude
Biochemistry
Brandeis University
Harry S. Truman Scholarship
Brandeis University
Brandeis University Scholar
Brandeis University
Deans List
Brandeis University
John D. Schultz Scholarship
Canadian Heart and Stroke Foundation
Edward D. Churchill Fellowship
Department of Surgery
Massachusetts General Hospital
Phi Beta Kappa
Brandeis University
Nathan and Bertha Richter Award
Brandeis University
Nathan and Bertha Richter Award
Brandeis University
Edward D. Churchill Fellowship
Department of Surgery
Massachusetts General Hospital
Best Microsurgical Case of the Year Nominee
American Society of Reconstructive Microsurgery
John D. Schultz Scholarship
Canadian Heart and Stroke Foundation

Teaching

Application of A Novel Screening Test for Fanconi Anemia in Patients with Congenital Upper Limb Anomalies , 2007
Seminar
Plastic Surgery, Childrens Hospital Boston
Nutritional Modulation of Glutamine Synthetase Expression , 1997
Seminar
American College of Surgeons, Chicago, IL
Glutamine Regulates Lung Glutamine Synthetase Expression During Physiologic Stress , 1997
Seminar  Issue: Pittsburgh, PA
Surgical Infection Society
Basic Surgical Skills Course , 2001 -
Harvard Medical School
Plastic Surgery Residency Core Curriculum , 2004-
Harvard Medical School
Pediatric Hand and Plastic Surgery , 2006 -
Harvard Medical School
Pigmented Skin Lesions: When to refer? , 2006
Frontiers in Pediatric Surgery Symposium  Issue: CME
Children's Hospital Boston
Common Pediatric Hand Injuries: Diagnosis and Management , 2007
Frontiers in Pediatric Surgery Symposium  Issue: CME
Children's Hospital Boston
Management of Adolescent Benign Breast Disorders , 2008
Adolescent Medicine  Issue: CME Course
Children's Hospital Boston
Adolescent Benign Breast Disorders , 2009
Updates in Pediatric Plastic & Oral Surgery  Issue: San Juan, Puerto Rico
Children's Hospital Boston
Pediatric Microsurgery at CHB , 2009
Updates in Pediatric Plastic & Oral Surgery  Issue: San Juan, Puerto Rico
Childrens Hospital Boston
Invited Presentation
Role of Flap Prefabrication in Management of Large Head and Neck Burn Contractures , 2001
Plastic Surgery Grand Rounds
Shriners Hospital for Children
Invited Presentation
Surgical Options for Vulvar Reconstruction , 2001
Plastic Surgery Grand Rounds
Shriners Hospital for Children
Invited Presentation
Mycobacterial Infections of the Wrist , 2002
Orthopedic Surgery
Massachusetts General Hospital
Invited Presentation
Homocystinuria: An Unusual Cause of Microvascular Failure , 2002
Plastic Surgery Grand Rounds
Shriners Hospital for Children
Invited Presentation
Interesting Cases in Plastic Surgery at the MGH , 2003
Plastic Surgery
Massachusetts General Hospital
Hand and Microsurgery at the BIDMC , 2004
Plastic Surgery
Beth Israel-Deaconess Medical Center (West)
Course Director
Hand Surgery Teaching Conference
Beth Israel-Deaconess Medical Center (West)
Hand and Microsurgery at the BIDMC , 2004
Plastic Surgery
Beth Israel-Deaconess Medical Center (West)
Vascular Anomalies: An Overview , 2005
Plastic Surgery
Childrens Hospital Boston-Lexington
Clinical Application of A Novel Screening Test for Fanconi Anemia in Patients with Congenital Hand Anomalies , 2005
Plastic Surgery
Childrens Hospital Boston
Congenital Hand Anomalies and Blood Dyscrasias , 2006
Plastic Surgery
Childrens Hospital-Advanced Fetal Care Conference
Introduction to Plastic and Reconstructive Surgery , 2006
Plastic Surgery Grand Rounds
Harvard Medical School
Adolescent Breast Disorders , 2006
Plastic Surgery Grand Rounds
Childrens Hospital Boston
Updates on Management of Pediatric Hand Injuries , 2008
Symposium
Plastic Surgery, Lawrence General Hospital
Common Breast Disorders in the Adolescent Patient , 2008
Seminar
Plastic Surgery, Lawrence General Hospital
Common Breast Disorders in the Adolescent Patient
Grand Rounds
Adolescent Medicine, Childrens Hospital Boston
Functional Reconstruction in Soft-Tissue Sarcomas of the Hand , 2002
Plenary Presentation  Issue: Sturbridge, MA
New England Society of Plastic and Reconstructive Surgeons
Protein Stability Regulates Glutamine Synthetase Expression During Stress , 1998
Plenary Presentation  Issue: Orlando, FL
American College of Surgeons
Vascularized Fascial Flaps: Applications in Hand Surgery , 2009
Seminar  Issue: Maui, HI
American Society of Reconstructive Microsurgery
Free Penile Autotransplantation of Management of Sacral Ectopic Phallus , 2009
Plenary Presentation  Issue: Maui, HI
American Society of Reconstructive Microsurgery
Invited Lecture
Strategies for Improving Nutritional and Metabolic Support in the Surgical Patient , 1998
Asian-Pacific Federation  Issue: Taipei, Taiwan
International College of Surgeons
Invited Lecture
Pediatric Plastic Surgery at Childrens Hospital Boston , 2007
Egyptmedica
Invited Lecture
Pediatric Microsurgery , 2007
National Capital Plastic Surgery Society
Co-Author
Gynecomastia , 2008
Patient education information on Children's website
Children's Hospital Boston
Co-Author
Common Congenital Hand Conditions , 2008
Patient education information on CHB website
Children's Hospital Boston
Microvascular Reconstruction of Large Scalp Defects , 2004
Plenary Presentation  Issue: Palm Springs, CA
American Society of Reconstructive Microsurgery
Co-Author
Macromastia , 2009
Patient education information on CHB website
Children's Hospital Boston

Activities

Member
Harvard Plastic Surgery Residency Selection Committee
Brigham and Womens Hospital
Member
Harvard Plastic Surgery Executive Committee
Brigham and Womens Hospital
Member
Physician Organization Quality Committee
Childrens Hospital Boston
Member
Program for Patient Safety and Quality Education Committee
Childrens Hospital Boston
Member
Operating Room Governance Clinical Practice Committee
Childrens Hospital Boston
Coding Compliance Committee
Department of Plastic Surgery
Childrens Hospital Boston

Publications

Ad Hoc Reviewer
Plastic and Reconstructive Surgery
Reviewer
HAND
Member of the Editorial Board
HAND
Keon WJ, Adams GA, Labow BI
Measurement of Thromboembolism: Applications to Patients with A Jarvik Total Artifical Heart , 1989
Journal of the Material Research Society
Labow BI, Herschlag D, Jencks WP
Catalysis of the hydrolysis of phosphorylated pyridines by alkaline phosphatase has little or no dependence on the pKa of the leaving group , 1993
Biochemistry  Issue: 32(34) , Page: 8737-41
Singer S, Corson JM, Gonin R, Labow BI, Eberlein TJ
Prognostic factors predictive of survival and local recurrence for extremity soft tissue sarcoma , 1994
Ann Surg  Issue: 219(2) , Page: 165-73
Labow BI, Abcouwer SF, Lin CM, Souba WW
Glutamine synthetase expression in rat lung is regulated by protein stability , 1998
Am J Physiol  Issue: 275(5 Pt 1) , Page: L877-86
Labow BI, Souba WW, Abcouwer SF
Mechanisms governing the expression of the enzymes of glutamine metabolism--glutaminase and glutamine synthetase , 2001
J Nutr  Issue: 131(9 Suppl) , Page: 2467S-74S; discussion 2486S-7S
Labow BI, Green AK, Upton J
Homocystinuria: An Unrecognized Cause of Microvascular Failure , 2007
Plastic and Reconstructive Surgery  Issue: 120(1) , Page: 6e-12e
Liao EC, Labow BI, May JW
Skin Banking Closure Technique in Immediate Autologous Breast Reconstruction , 2007
Plast Reconstr Surg
Labow BI, Rosen H, Greene AK, Lee WPA, Upton J
Soft Tissue Sarcomas of the Hand: Functional Reconstruction and Outcome Analysis , 2008
Hand  Issue: 3(3) , Page: 229-36
Glotzbecker MP, Shin EK, Chen NC, Labow BI, Waters PM
Salvage Reconstruction of Congenital Pseudarthrosis of the Clavicle With Vascularized Fibular Graft After Failed Operative Treatment , 2008 (in press)
Journal of Bone and Joint Surgery
Upton J, Guo L, Labow BI
Pediatric Microsurgery , 2008 (in press)
Plastic and Reconstructive Surgery
Rosen H, Schmidt B, Lam HP, Meara JG, Labow BI
Management of Nevus Sebaceus and the Risk of Basal Cell Carcinoma: An 18-Year Review , 2009 (in press)
Pediatric Dermatology
Rogers GF, Labow BI
Diaphyseal Non-Union in the Distal Phalanx of a Child , 2007
Journal of Hand Surgery  Issue: 32(1) , Page: 85-87
Greene AK, Karnes J, Padua HM, Schmidt BA, Kasser JR, Labow BI
Diffuse Lipofibromatosis of the Lower Extremity Masquerading as a Vascular Anomaly , 2007
Annals of Plastic Surgery
Labow BI, Abcouwer SF, Souba WW
Is the Lung an Organ of Nutrition and Metabolism? , 1997
Nutrition
Labow BI, Souba, WW
Nurtition , 1999
Manual of Clinical Oncology
John Wiley & Sons Inc
Upton J and Labow BI
Congenital Anomalies of the Upper Extremity , 2006
Current Therapy in Plastic Surgery  Issue: Philadelphia, PA , Page: 625-639
Saunders Elsevier LTD
Brian I. Labow
Mechanisms of Catalysis of Phosphoryl-group Transfer Reactions , 1989
Brandeis University
Labow BI, Abcouwer SF, Souba WW
Nutritional Modulation of Glutamine Synethase Expression in Stressed Rats , 1997
Surgical Forum
Lukaszewicz G, Abcouwer SF, Labow BI, Souba WW
Glutamine synthetase gene expression in the lungs of endotoxin-treated and adrenalectomized rats , 1997
Am J Physiol  Issue: 273(6 Pt 1) , Page: L1182-90
Elgadi KM, Labow BI, Abcouwer SF, Souba WW
Sepsis increases lung glutamine synthetase expression in the tumor-bearing host , 1998
J Surg Res
Labow BI, Souba WW, Abcouwer SF
Glutamine Synthetase Expression in Muscle is Regulated by Transcriptional and Post-transcriptional Mechanisms , 1999
American Journal of Physiology  Issue: 276 , Page: E1136-E1145
Labow BI, Souba WW
Glutamine , 2000
World J Surg  Issue: 24(120) , Page: 1503-1513
Brian I. Labow
Department of Plastic Surgery Service Guidelines , 2007
Established a core curriculum, syllabus and code of behavior for residents rotating in the Plastic Surgery service to improve patient safety
Children's Hospital Boston
Research Interests: Congenital Hand Anomalies, Genetics of Congenital Hand Anomalies, Association between Fanconi Anemia & Congenital Hand Anomalies

2004-2009 Project Director: Microsurgical Reconstruction of Large Scalp Defects A retrospective review of the management and reconstruction of large scalp defects secondary to a variety of etiologies using free tissue transfer, to discuss the advantages of free tissue transfer as the primary reconstructive modality.

2008-2009 Co-PI: Management and Outcome of Pediatric Pressure Sores A retrospective review of the use of free tissue transfer in pediatric pressure ulcers to determine the incidence and risk factors for post-operative ulcer recurrence.

2008-2009 Investigator: Atypical Spitz Nevus A retrospective review of Spitz nevi in the pediatric population to determine an appropriate treatment algorithm and the incidence of skin malignancy in this population.

2008-2009 PI: Surgical Outcomes in Adolescent Patients with Breast Disorders The major goal of this project is to retrospectively review adolescent patients with benign breast disorders and their surgical outcomes.

2008-enrollment completion PI: Adolescent Breast Clinic Registry and Psychosocial Outcomes of Multidisciplinary Treatment for Adolescent Breast Disorders The major goal of this project to evaluate the psychosocial and physical impact of benign breast disorders in adolescents as well as to prospectively study the outcomes of surgical and non-surgical intervention for these conditions.

2008-2009 PI Incidence of Fanconi Anemia Among Children with Thumb and Radial Deficiencies This project retrospectively reviews patients with a congenital thumb and/or radial deficiency and identifies the incidence of the bone marrow failure syndrome Fanconi anemia in those that were tested.

  • Children's Hospital Boston
    Department of Plastic and Oral Surgery
    300 Longwood Avenue
    Hunnewell 1
    Boston, MA  02115
    Phone: 617-355-4964
    Fax: 617-738-1657

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