{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T14:07:51Z","timestamp":1790690871953,"version":"4.1.0"},"reference-count":41,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"vor","delay-in-days":85,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100004663","name":"Ministry of Science and Technology, Taiwan","doi-asserted-by":"publisher","award":["MOST 114\u20102314\u2010B\u2010182A\u2010095\u2010MY3"],"award-info":[{"award-number":["MOST 114\u20102314\u2010B\u2010182A\u2010095\u2010MY3"]}],"id":[{"id":"10.13039\/501100004663","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012553","name":"Chang Gung Memorial Hospital","doi-asserted-by":"publisher","award":["CMRPG3Q0261"],"award-info":[{"award-number":["CMRPG3Q0261"]}],"id":[{"id":"10.13039\/100012553","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012553","name":"Chang Gung Memorial Hospital","doi-asserted-by":"publisher","award":["CMRPG3N0832"],"award-info":[{"award-number":["CMRPG3N0832"]}],"id":[{"id":"10.13039\/100012553","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["OTO Open"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the diagnostic performance of CT\u2010measured minimum fascia\u2010tumor distance (MFTD) for predicting parotid tumor location and its association with postoperative facial nerve function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Referral hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study included 323 patients with benign parotid tumors treated at referral centers. CT\u2010measured MFTD values were compared between superficial and deep lobe tumors. Diagnostic accuracy for identifying deep lobe tumors was evaluated using a receiver operating characteristic (ROC) curve. Univariable and multivariable logistic regression analyses were performed to identify predictive factors for tumor location and postoperative facial palsy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      MFTD significantly differed between superficial and deep lobe tumors (1.59\u2009\u00b1\u20092.14\u2009mm vs. 3.90\u2009\u00b1\u20093.40\u2009mm,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001). ROC analysis yielded an area under the curve of 0.70 (95% confidence interval [CI], 0.60\u20100.79;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001), with 3.0\u2009mm identified as the optimal threshold. Independent predictors of deep lobe tumors included MFTD (odds ratio [OR], 1.34; 95% CI, 1.19\u20101.49;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001) and maximal tumor diameter (OR, 1.03; 95% CI, 1.00\u20101.06;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.043). Predictors of postoperative temporary facial palsy were MFTD (OR, 1.26; 95% CI, 1.11\u20101.42;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001), female sex (OR, 3.17; 95% CI, 1.49\u20106.73;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.003), and anterior tumor location (OR, 2.69; 95% CI, 1.21\u20106.00;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.016).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>CT\u2010based MFTD provides reliable diagnostic performance for distinguishing deep lobe parotid tumors. Beyond tumor localization, MFTD also predicts the risk of postoperative temporary facial palsy. Incorporating MFTD into preoperative planning and patient counseling may enhance surgical decision\u2010making and outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/oto2.70302","type":"journal-article","created":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T12:44:14Z","timestamp":1790253854000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Computed Tomography\u2010Measured Minimum Fascia\u2010Tumor Distance for Parotid Tumor Location and Facial Palsy Prediction"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9826-284X","authenticated-orcid":false,"given":"Yi\u2010Chan","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Chang Gung Memorial Hospital Keelung Taiwan"},{"name":"College of Medicine Chang Gung University Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li\u2010Yu","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Pathology Chang Gung Memorial Hospital Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chi\u2010Yin","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Chang Gung Memorial Hospital Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ti\u2010Yung","family":"Tseng","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging and Intervention Chang Gung Memorial Hospital Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yao\u2010Te","family":"Tsai","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Chang Gung Memorial Hospital Chiayi Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chih\u2010Chen","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging and Intervention Chang Gung Memorial Hospital Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1777-9578","authenticated-orcid":false,"given":"Kai\u2010Ping","family":"Chang","sequence":"additional","affiliation":[{"name":"College of Medicine Chang Gung University Taoyuan Taiwan"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Chang Gung Memorial Hospital Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,24]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-03483-6"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/15533506221120484"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.29623"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12893-019-0666-6"},{"issue":"12","key":"e_1_2_10_6_1","article-title":"Prospective assessment of risk factors influencing facial nerve paresis in patients after surgery for parotid gland tumors","volume":"58","author":"Gluszkiewicz E","year":"2022","journal-title":"Medicina (Kaunas)"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2020.09.003"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599815607841"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2008.01.027"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2021.634452"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.4103\/jcis.JCIS_8_18"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.5334\/jbsr.1596"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.radonc.2005.04.010"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23103"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ultrasmedbio.2020.04.027"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2020.102776"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/20503121221132357"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oooo.2023.02.013"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.14207"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12491"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.10281"},{"key":"e_1_2_10_22_1","doi-asserted-by":"crossref","unstructured":"ChenSW\u2010T HsinL\u2010J LinW\u2010N TsaiY\u2010T TsaiM\u2010S LeeY\u2010C. 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