Thanks girls!!!! I very much appreciate all your help! Usually, I am the one out there hunting sources down but I feel an urgent need and haven't had time today and my brain isn't wrapping around it.

I was able to find out why this particular physician wants to refer mom to an ENT. I couldn't figure out why in the world an ear, nose, throat doc would do this kind of surgery. But apparently, part of the otolaryngologists expertise is dealing with cancers on the head, neck or face plus the plastic surgery knowledge to repair damage. Color me embarrassed for not figuring that out on my own, but geesh, what do I know!

Thank you!!!! I will check out all those sites and thanks again abbie and lara!