To access the additional media content available with this e-book via Thieme MedOne, please use the code and follow the instructions provided at the back of the e-book. FFMM..iinndddd ii 1133//0099//2222 33::5511 PPMM FFMM..iinndddd iiii 1133//0099//2222 33::5511 PPMM Jackson’s Local Flaps in Head and Neck Reconstruction Third Edition Peter C. Neligan, MB, FACS, FRCS(I), FRCSC Professor Emeritus Department of Surgery Division of Plastic Surgery University of Washington Seattle, Washington, USA J. Brian Boyd, MD, FRCS, FRCSC, FACS Professor of Surgery UCLA School of Medicine; Chief Division of Plastic Surgery Harbor-UCLA Medical Center Torrance, California, USA David Mathes, MD Professor of Surgery Chair of Plastic Surgery University of Colorado School of Medicine Aurora, Colorado, USA 1062 illustrations Thieme New York • Stuttgart • Delhi • Rio de Janeiro FFMM..iinndddd iiiiii 1133//0099//2222 33::5511 PPMM Library of Congress Cataloging-in-Publication Data is Important note : Medicine is an ever-changing science available from the publisher. undergoing continual development. Research and clini- cal experience are continually expanding our knowledge, in particular our knowledge of proper treatment and drug therapy. Insofar as this book mentions any dosage or application, readers may rest assured that the authors, editors, and publishers have made every effort to ensure that such references are in accordance with t he state of knowledge at the time of production of the book . 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Behr, MA, CCA, CMI, FAMI; Tiffany Slaybaugh Davanzo, MA, CMI; and Brenda Bunch, MA, MS Typesetting by Thomson Digital, India Printed in USA by King Printing Company, Inc. 5 4 3 2 1 T his book, including all parts thereof, is legally protected by copyright. Any use, exploitation, or commercializati- ISBN: 978-1-62623-810-7 on outside the narrow limits set by copyright legislation, without the publisher’s consent, is illegal and liable to Also available as an e-book: prosecution. This applies in particular to photostat re- eISBN (PDF): 978-1-62623-811-4 production, copying, mimeographing or preparation of eISBN (epub): 978-1-63853-532-4 microfilms, and electronic data processing and storage. FFMM..iinndddd iivv 1133//0099//2222 33::5511 PPMM In Memoriam Ian T. Jackson, MD, DSc (Hon), FRCS, FACS, FRACS (Hon) (1934–2020) FFMM..iinndddd vv 1133//0099//2222 33::5511 PPMM FFMM..iinndddd vvii 1133//0099//2222 33::5511 PPMM I an T. Jackson remains one of the most recognized names in plastic surgery. As a surgeon, teacher, and re- searcher, he came to infl uence generations of trainees on both sides of the Atlantic and beyond. Sadly, he died on August 2, 2020, having suff ered from Alzheimer’s disease for over a decade. This horrible illness lays waste the memory, destroys the mind, and annihilates the soul. Yet, in the inspiration he has given us, he still shines bright; in his writings he remains a pillar of our specialty; and, in our memories, he retains a twinkle in his eye and that joyous enthusiasm of a master surgeon at the top of his game. What follows are a few personal recollections of Ian’s infl uence on the three of us. While I have known who Ian T. Jackson was since I was fi rst introduced to plastic surgery in the 1970s, he was just a name, albeit a name in Neon Lights. I really got to know him 20 years later. At the time he was 59 and in his prime. I was 42 and a young surgeon at the University of Toronto. I really got to know him because my fellow, Pe- ter Callan who is now a plastic surgeon in Geelong, Australia, went to work with Jackson in Southfi eld, Michigan, after he fi nished his fellowship in Toronto and introduced the two of us. I revered the man and could not believe that he accepted me as an equal. Our friendship grew over the years, and we developed a mutual respect and an unbelievable friendship. My wife Gaye and I became close friends with Ian and Marjorie and each summer they would drive up from Detroit and we would drive down from Toronto to meet in Stratford, Ontario, for a wonder- ful weekend of friendship, bad golf, and a play. Ian and I always made it clear that we would sleep during the play but not embarrass the ladies. His intellect was inquiring, innovative, and incredibly accepting of others’ ideas. He was a master surgeon and will always be my hero. This book is one of his many valuable contributions to the spe- cialty and I am honored and humbled to attempt to update it with my friends, J. Brian Boyd and David Mathes. Peter C. Neligan, MB, FACS, FRCS(I), FRCSC Q uite simply, I am a plastic surgeon b ecause of Ian T. Jackson. Back in 1975, I was a peripatetic surgical regis- trar (resident) based at the University of Liverpool but consigned to visiting far-fl ung hospitals on the bucolic Wirral Peninsula—the tongue of Cheshire which, in the Domesday Book, extended northwards “two arrow falls from Chester city walls” to face what is now the great port of Liverpool across the Mersey River. My beloved Rover 3.5 Coupe was not blessed with the modern technology of Bluetooth or Apple Play, but there was always “aunty” BBC on the radio. One day, as I careened from one red brick NHS edifi ce to another, I heard the story of David, the child from Peru with severe craniofacial deformities who Ian T. Jackson found living as an outcast, and who he subsequently adopted. On air, Ian himself described the multiple operations that had already taken place, or were planned, to re-humanize this unfortunate individual back in Glasgow. It is very rare, I think, for an entire career to pivot on a single moment, but mine did. And now, with this modest contribution to what has become a classic text, it is my privilege and honor to pay tribute to the compassionate and brilliant surgeon who inspired me that sunny day on Merseyside, and who later I came to regard as a colleague and as a friend. J. Brian Boyd, MD, FRCS, FRCSC, FACS My fi rst job as an assistant professor at the University of Washington included being the “chief” of plastic sur- gery at the Veterans Administration Hospital. A central part of the job entailed a large volume of local facial re- construction cases. Ian T. Jackson’s book Local Flaps in Head and Neck Reconstruction consistently served as my “go-to” book for sage instruction as to how best reconstruct a facial defect. At some point later in my career, I was talking to Peter C. Neligan about how this book remains one of essential plastic surgery texts and we both agreed that it would be great to update this important book both to honor a great surgeon, humanitarian, and friend and to keep the book in active circulation. Later, we asked J. Brian Boyd to join the project and bring his vast experience with facial reconstruction and thus began this project to bring this classic text up to date. David Mathes, MD FFMM..iinndddd vviiii 1133//0099//2222 33::5511 PPMM FFMM..iinndddd vviiiiii 1133//0099//2222 33::5511 PPMM