Submitted for Publication: February 22, 2013; final revision received June 13, 2013; accepted July 22, 2013.
Published Online: September 26, 2013. doi:10.1001/jamaoto.2013.4917.
Study concept and design: Manzoor, Russell, Burkey, Khan.
Acquisition of data: All authors.
Analysis and interpretation of data: Manzoor, Russell, Bricker, Koyfman, Scharpf, Burkey, Khan.
Drafting of the manuscript: Manzoor, Russell, Bricker, Khan.
Critical revision of the manuscript for important intellectual content: Russell, Bricker, Koyfman, Scharpf, Burkey, Khan.
Statistical analysis: Manzoor, Russell, Bricker, Khan.
Administrative, technical, or material support: Russell, Bricker, Scharpf, Burkey, Khan.
Study supervision: Russell, Koyfman, Scharpf, Burkey, Khan.
Conflict of Interest Disclosures: None reported.
Previous Presentation: This study was presented at the American Head and Neck Society Annual Meeting; April 11, 2013; Orlando, Florida.
Additional Contributions: We thank Christine Fleckenstein, RN, Head and Neck Institute, Cleveland Clinic Foundation, for her efforts in coordinating this project, as well as Benjamin Nutter, Department of Statistical Analysis, Lerner School of Medicine, Cleveland Clinic, for his help with the review of statistics.