1. From the Division of Otolaryngology, Department of Surgery, University of Kentucky Medical Center, Lexington (Dr Arosarena); Department of Otolaryngology, Albany Medical College, Albany, NY (Dr Falk); and Departments of Otolaryngology (Drs Malmgren, Tatum, and Kellman and Ms Bookman) and Orthopedic Surgery (Dr Allen and Ms Schoonmaker), State University of New York Upstate Medical University at Syracuse, Syracuse.