1 All authors are affiliated with Head and Neck Reconstructive Surgery Department at Roswell Park Comprehensive Cancer Center and Jacobs School of Medicine and Biomedical Sciences. jmsorren@buffalo.edu, ayham.alafif@roswellpark.org, william.magner@roswellpark.org, lynn.sigurdson@roswellpark.org, jmdavies@buffalo.edu, raf2@buffalo.edu, mghannam@ubns.com, ryan.mcspadden@roswellpark.org.