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EDITORIAL STAFF
Editor: Paul A. Levine, MD
Department of Otolaryngology–Head & Neck Surgery
University of Virginia
183 Tuckahoe Farm Ln
Charlottesville, VA 22901

Associate Editors:
Anil K. Lalwani, MD, New York, New York
Jay F. Piccirillo, MD, St Louis, Missouri
Bevan Yueh, MD, Minneapolis, Minnesota
George H. Zalzal, MD, Washington, DC

Editorial Manager:
Susan L. Levine
Telephone: (434) 960-9202
Fax: (434) 973-3454
e-mail: archoto{at}jama-archives.org

Editorial Assistants:
Lisa G. Clyman
Telephone: (434) 960-9204
Erica T. Payne
Telephone: (434) 960-9203
Fax: (434) 973-3454
e-mail: archoto{at}jama-archives.org

EDITORIAL BOARD

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Elliot Abemayor, MD, PhD, Los Angeles, California
Carol R. Bradford, MD, Ann Arbor, Michigan
Marvin P. Fried, MD, Bronx, New York
Bruce J. Gantz, MD, Iowa City, Iowa
Fadlo R. Khuri, MD, Atlanta, Georgia
Marci M. Lesperance, MD, Ann Arbor, Michigan
Douglas E. Mattox, MD, Atlanta, Georgia
Stacey E. Mills, MD, Charlottesville, Virginia
Robert M. Naclerio, MD, Chicago, Illinois
Robert H. Ossoff, DMD, MD, Nashville, Tennessee
Stephen S. Park, MD, Charlottesville, Virginia
C. Douglas Phillips, MD, Charlottesville, Virginia
Michael A. Rothschild, MD New York, New York
Richard J. H. Smith, MD, Iowa City, Iowa
Michael G. Stewart, MD, MPH, New York, New York

SECTION EDITORS

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Continuing Medical Education: Douglas E. Mattox, MD, Atlanta, Georgia
Clinical Challenges in Otolaryngology: J. Pieter Noordzij, MD, Boston, Massachusetts
Online Editor: Michael A. Rothschild, MD, New York, New York
Clinical Problem Solving: Radiology: Patricia A. Hudgins, MD, Atlanta, Georgia
Clinical Problem Solving: Pathology: Julia C. Iezzoni, MD, Charlottesville, Virginia
Reflections: Elliot Abemayor, MD, PhD, Los Angeles, California
American Academy of Facial Plastic and Reconstructive Surgery News: Becky McGraw-Wall, MD, Houston, Texas;  Maisie Shindo, MD, Stony Brook, New York
American Head and Neck Society News: Amy Y. Chen, MD, MPH, Atlanta, Georgia
American Society of Pediatric Otolaryngology News: Sally R. Shott, MD, Cincinnati, Ohio

PUBLICATION STAFF

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Offices: 515 N State St, Chicago, IL 60610

Catherine D. DeAngelis, MD, MPH
Editor in Chief
Scientific Publications & Multimedia Applications
Cheryl Iverson: Managing Editor

Editorial Processing Department

Department Director: Paula Glitman
Manuscript Editing Manager: Lauren B. Fischer
Senior Manuscript Editors: Dee E. Egger, John McFadden, Donald S. Smith
Manuscript Editor: Karen L. Boyd
Freelance Manuscript Editing Manager: Diane L. Cannon
Freelance Manuscript Editing Coordinators: Vickey Golden, Mary A. Kingzette, Connie L. Manno
Freelance Copy Editors and Copyreaders: Catherine A. Alden, Lisa M. Cluver, Mary Coerver-Connolly, Allison Esposito, GeorgeMary Gardner, Robin Husayko, Laura King, Nicole C. Netter, Caroline Woods
Editorial Systems Managers: Paul Frank, Monica Mungle
Systems Programmer/Internet Specialist: J.D. Neff
Editorial Assistant: Wanda Hill

Scientific Publications & Multimedia Applications

Executive Assistant to the Editor: Marla A. Hall

Scientific Online Resources

Director: Margaret Winker, MD
Electronic Media Department Director: Michelle Kurzynski
Associate Web Editors: Christopher Hastings, Peter Kim
Web Administrative Assistant: Reuben Rios

PERIODIC PUBLISHING & BUSINESS STAFF

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Senior VP & Publisher: Robert A. Musacchio, PhD

Advertising Sales & Marketing

Division Director: Jeffery J. Bonistalli
Manager: Kathy Russell
Staff: Mirna Monal, Jennifer Seminerio
Sales Representative: Tim Melroy
Assistant Publisher, Classified Advertising/Circulation Promotion: Geoffrey Flick
Manager: Thalia Moss
Staff: Tem Harrier, Kim Jenkins, Allison Kruse, Michelle Sharpe
Director, Marketing Support Services: Mark Thornbury
Staff: Nancy Bell, Tricia Leonardis, Dennis Sammartino
Director, Reprints: Mark Kuhns
Staff: Susan Lovenberg

Journal Sales & Online Business

Division Director: Richard Newman
Director, Worldwide Sales: Vida Damijonaitis
Circulation Sales & Marketing Managers: Silvana Benzoni, Saskia Bolore, Jeremy Nielsen
Staff: Rebecca Haas, Christine Hearne
Director, Marketing and Product Development: Michael T. Clarke
Manager: Elizabeth Solaro
Staff: Millette Jackson-Bates, Sara Nicholson
Online Journal Publishing:
Manager: Julie Harrington

Publishing Operations

Division Director: Vanessa Hayden
Directors: Karen Adams-Taylor, Sue Sherrill
Managers: David Antos, Karen Branham, Suzanne J. Bukovsky, Debbie Camp, Susan Chiara, Diane Darnell, Susana Eloy de Vitale, Karl Elvin, Mary Ellen Johnston, Michael McGraw, Chris Meyer, Sean O’Donnell, Sean Ohlson, Phil O'Leary, Ryan Patella, Susan Price, Stacy Tucker
Advertising and Production Services: Karen Allbright, Bernadette Bauer, Rhonda Bailey Brown, Anna Goins, Terri Hanley, Euwanaha Joiner-Smith, Brian McCartney, Noemi Olmo, John Pantlind, Cindy Rendlen, Denise Steinhauser, Ellen Yoshihara
Circulation Processing: Julie Burton, Michael Deegan, Rosa Eng, Donovan Hanson, Felicia Kyles, Kathryn Osten
Composition and New Media: Gail Barrett, Regina Brownlee, Brenda Chandler-Grayer, Scott Curl, Amy Evers, Teri Hutchison, Mary Ann Kuranda, Joshua Lampinen, Patricia E. Panek, La'son Diggs Sledge, George Thomson
Graphics: Joe Amft, Maria Duda, Fred Furtner, Carolyn Hall, Maria Kowalkowski, JoAnne Weiskopf
Proofreading: Carol Joy Farrell, Daniel James, Judith A. Literskis, Teresa H. Omiotek, Barbara Wojtowicz, Agnes A. Zarkadas

AMA EXECUTIVES

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Michael D. Maves, MD, MBA, Executive Vice President, Chief Executive Officer
Bernard L. Hengesbaugh, Chief Operating Officer
Robert A. Musacchio, PhD, Senior Vice President, Publishing & Business Services

All articles published, including editorials, letters, and book reviews, represent the opinions of the authors and do not reflect the policy of the American Medical Association, the Editorial Board, or the institution with which the author is affiliated, unless this is clearly specified.

Copyright 2008 by the American Medical Association. All rights reserved. Reproduction without permission is prohibited.