1. From the Department of Otolaryngology–Head and Neck Surgery (Drs Sabini, Sclafani, and Romo), the Division of Facial Plastic and Reconstructive Surgery (Drs Sclafani and Romo), and the 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).