[1] Wistar Inst Anat & Biol, Philadelphia, PA 19104 USA
[2] Univ Penn, Dept Otorhinolaryngol Head & Neck Surg, Philadelphia, PA 19104 USA
[3] Univ Penn, Sch Med, Dept Biostat & Epidemiol, Philadelphia, PA 19104 USA
[4] Univ Regensburg, Med Ctr, Dept Dermatol, D-93053 Regensburg, Germany