From the Departments of Otolaryngology (M.S., J.S., R.E., D.H., R.R.L., I.E.), Nephrology and Hypertension (W.B.), and Plastic and Reconstructive Surgery (R.Y.), Cleveland Clinic Foundation, Cleveland; and Lifelink Transplant Institute, Tampa, Fla. (J.M.). Address reprint requests to Dr. Strome at the Department of Otolaryngology, Cleveland Clinic Foundation, 9500 Euclid Ave., Cleveland, OH 44195.