1. Division of Facial Plastic Surgery (Drs L. G. Patrocínio and T. G. Patrocínio), Department of Otolaryngology (Dr J. A. Patrocínio), Medical School, Federal University of Uberlandia, Uberlandia, Minas Gerais, Brazil; and Department of Otolaryngology, Medical School, University of São José do Rio Preto, São José do Rio Preto, São Paulo, Brazil (Dr Maniglia).