Inclusion Criteria:  Subjects between the ages of 21 (inclusive) and 90 (inclusive). Anyone that is over 89 years old will be labeled as 89 in the data analysis. Patients with an established relationship with the adult Otolaryngology and/or Radiation Oncology clinic at AMC or HRH. Patients that present with a new diagnosis of oropharyngeal SCC who undergo radiation treatment, with or without chemotherapy. Patients who may require trachesotomy will be included. Stated willingness to comply with all study procedures and be available for the duration of the study.  Exclusion Criteria:  Under the age of 21 or over the age of 90. Unwilling to sign the informed consent. Unable or unwilling to participate in sleep studies. Patients who have had a prior diagnosis of SCCa of the head and neck including nasopharynx, oral cavity, oropharynx, larynx and hypopharynx will be excluded. Patients with prior non-cutnaeous non-SCC tumors of the head and neck will also be excluded. Patients with prior skin cancer diagnoses will not be excluded.