1. From the Division of Otolaryngology–Head and Neck Surgery, Facial Plastic and Reconstructive Surgery, Stanford University Medical Center, and the Palo Alto Veteran's Affairs Health Care System, Palo Alto, Calif (Drs Greene, Koch, and Goode); and the Department of Otolaryngology–Head and Neck Surgery, Cleveland Clinic Florida, Naples (Dr Greene). The authors have no financial interest or grant support from Ethicon Inc.