1 Southern New England Ear, Nose, Throat and Facial Plastic Surgery Group, One Long Wharf Drive, Suite 302, New Haven, CT 06511, USA; Frank H. Netter MD School of Medicine, Quinnipiac University, North Haven, CT, USA; Yale School of Medicine, Yale University, New Haven, CT, USA; Middlesex Hospital, Middletown, CT, USA. Electronic address: madago@comcast.net.