1. From the Division of Facial Plastic and Reconstructive Surgery (Drs Sclafani and Romo), Department of Otolaryngology–Head and Neck Surgery (Drs Parker and Jacono), and Department of Pathology (Drs McCormick and Cocker), The New York Eye and Ear Infirmary, New York; and the Department of Otolaryngology–Head and Neck Surgery, New York Medical College, Valhalla (Drs Sclafani and Romo).