1 From the Section of Otolaryngology, Halifax Medical Center, Daytona Beach, Fla. (Dr. Mirante and Dr. Christmas); the Florida State University School of Medicine, Daytona Beach (Dr. Mirante); and the Section of Otolaryngology, Yale New Haven Hospital-St. Raphael Campus and the Yale University School of Medicine, New Haven, Conn. (Dr. Yanagisawa).