1. From the Division of Facial Plastic Surgery (Drs Sclafani and Romo), and the Departments of Otolaryngology–Head and Neck Surgery (Drs Sclafani, Romo, Jacono, and Parker) and 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).