∗Department of Otolaryngology–Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, Alabama

†Department of Pathology–Anatomic Pathology, University of Alabama at Birmingham, Birmingham, Alabama

‡Department of Otolaryngology–Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania

§Department of Otolaryngology–Head and Neck Surgery at University Hospitals Cleveland Medical Center, Case Western Reserve University Medical School, Cleveland, Ohio

Address correspondence and reprint requests to Daniel Killeen, M.D., Department of Otolaryngology–Head and Neck Surgery, University Hospitals Cleveland Medical Center, Lakeside Suite 4500, 11100 Euclid Ave., Cleveland, OH 44106; E-mail: [email protected]

The authors disclose no conflicts of interest.

This study was supported by UAB Department of Otolaryngology–Head and Neck Surgery.

This project was approved and in compliance with UAB IUCAC protocol no. 22466.

Authorship participation: Study design—Manickavel, Killeen, and Warram; data acquisition—Manickavel and Hartman; data analysis—Manickavel; manuscript drafting—Manickavel; critical revisions—Manickavel, all authors.