This study is looking at tumors in the Nasal or Nose and back of throat area. Treatment is based on various tumor characteristics.  Patients are "randomized" on this study.  This means a computer tells the study team which treatment you will receive.  Neither the patient or the physician can choose the treatment assignment.  The purpose of Randomized trials is to equally study treatment options using the same criteria in order to identify if one treatment may be superior to another treatment.