1. From Head & Neck Surgical Oncology and Microvascular Reconstruction, Department of Head & Neck Surgery, Southern California Permanente Medical Group, Los Angeles Medical Center, Los Angeles (Dr Lueg); and Head & Neck Surgical Oncology Service, Department of Otolaryngology, Wharton Head & Neck Center (Drs Irish, Brown, and Gullane), and Psychosocial Oncology, Department of Psychiatry (Dr Katz), The University Health Network, The University of Toronto, Toronto, Ontario.