Submitted for Publication: December 12, 2014; final revision received April 6, 2015; accepted June 7, 2015.
Published Online: August 27, 2015. doi:10.1001/jamaoto.2015.1485.
Study concept and design: Tomlinson, Jameson, Pagedar, Boyd.
Acquisition, analysis, or interpretation of data: Tomlinson, Jameson, Schoeff, Shearer, Boyd.
Drafting of the manuscript: Tomlinson, Shearer, Boyd.
Critical revision of the manuscript for important intellectual content: All authors.
Statistical analysis: Tomlinson.
Administrative, technical, or material support: Jameson.
Study supervision: Tomlinson, Jameson, Pagedar, Boyd.
Conflict of Interest Disclosures: None reported.
Additional Contributions: We thank the patients for granting permission to publish this information. We acknowledge Gerry F. Funk, MD, Department of Otolaryngology–Head and Neck Surgery, University of Iowa Hospitals and Clinics, for his supportive mentoring and his creativity and enthusiasm regarding the use of the teres major muscle as a free flap. We also acknowledge Lucy H. Karnell, PhD, for her help obtaining institutional review board approval at the University of Iowa Hospitals and Clinics. There was no financial compensation.