∗University of the Incarnate Word School of Osteopathic Medicine, San Antonio

†Department of Anatomic and Clinical Pathology, University of Texas Health Science Center, San Antonio

‡South Texas Veterans Health Care System, San Antonio

§Department of Otolaryngology–Head and Neck Surgery, San Antonio Uniformed Services Health Education Consortium, JBSA-Fort Sam Houston, Texas

Address correspondence and reprint requests to Isaac D. Erbele, MD, Department of Otolaryngology, 3551 Roger Brooke Dr., Fort Sam Houston, TX 78234; E-mail: [email protected]

Funding: none.

Conflicts of interest: The authors disclose no conflicts of interest.

Department of Defense Disclosure: The views expressed herein are those of the authors and do not reflect the official policy of position of Brooke Army Medical Center, the US Army Medical Department, the US Army Office of the Surgeon General, the Department of the Army, the Department of the Air Force, the Department of Defense, or the US Government.