{"id":"https://openalex.org/W64313845","doi":"https://doi.org/10.1177/014556131509400214","title":"Bilateral Keratin Horns Arising from the Tympanic Membranes: A Case Report","display_name":"Bilateral Keratin Horns Arising from the Tympanic Membranes: A Case Report","publication_year":2015,"publication_date":"2015-02-01","ids":{"openalex":"https://openalex.org/W64313845","doi":"https://doi.org/10.1177/014556131509400214","mag":"64313845","pmid":"https://pubmed.ncbi.nlm.nih.gov/25651354"},"language":"en","primary_location":{"id":"doi:10.1177/014556131509400214","doi":"https://doi.org/10.1177/014556131509400214","is_oa":true,"landing_page_url":"https://doi.org/10.1177/014556131509400214","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/014556131509400214","source":{"id":"https://openalex.org/S2755060417","display_name":"Ear Nose & Throat Journal","issn_l":"0145-5613","issn":["0145-5613","1942-7522"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Ear, Nose & Throat Journal","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://journals.sagepub.com/doi/pdf/10.1177/014556131509400214","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5012248608","display_name":"Chu Qin Phua","orcid":"https://orcid.org/0000-0002-4434-8258","observed_orcids":["https://orcid.org/0000-0002-4434-8258"]},"institutions":[{"id":"https://openalex.org/I2801440235","display_name":"North Manchester General Hospital","ror":"https://ror.org/02xesw687","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2801440235","https://openalex.org/I4210092852"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Chu Qin Phua","raw_affiliation_strings":["Department of Ear, Nose and Throat Surgery, North Manchester General Hospital, Manchester, U.K"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Ear, Nose and Throat Surgery, North Manchester General Hospital, Manchester, U.K","institution_ids":["https://openalex.org/I2801440235"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Vikas Malik","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801440235","display_name":"North Manchester General Hospital","ror":"https://ror.org/02xesw687","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2801440235","https://openalex.org/I4210092852"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Vikas Malik","raw_affiliation_strings":["Department of Ear, Nose and Throat Surgery, North Manchester General Hospital, Manchester, U.K"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Ear, Nose and Throat Surgery, North Manchester General Hospital, Manchester, U.K","institution_ids":["https://openalex.org/I2801440235"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5065149569","display_name":"Patrick Zaid Sheehan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801440235","display_name":"North Manchester General Hospital","ror":"https://ror.org/02xesw687","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2801440235","https://openalex.org/I4210092852"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Patrick Zaid Sheehan","raw_affiliation_strings":["Department of Ear, Nose and Throat Surgery, North Manchester General Hospital, Manchester, U.K"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Ear, Nose and Throat Surgery, North Manchester General Hospital, Manchester, U.K","institution_ids":["https://openalex.org/I2801440235"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I2801440235"],"apc_list":{"value":2650,"currency":"USD","value_usd":2650},"apc_paid":null,"fwci":0.1304,"has_fulltext":true,"cited_by_count":2,"citation_normalized_percentile":{"value":0.52634393,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":94},"biblio":{"volume":"94","issue":"2","first_page":"E22","last_page":"E23"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T14326","display_name":"Ear and Head Tumors","score":0.5562000274658203,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T14326","display_name":"Ear and Head Tumors","score":0.5562000274658203,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11306","display_name":"Nonmelanoma Skin Cancer Studies","score":0.13590000569820404,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11868","display_name":"Cancer and Skin Lesions","score":0.09000000357627869,"subfield":{"id":"https://openalex.org/subfields/2708","display_name":"Dermatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/tympanic-membrane","display_name":"tympanic membrane","score":0.9769999980926514},{"id":"https://openalex.org/keywords/auricular-deformity","display_name":"ear deformity","score":0.3720000088214874},{"id":"https://openalex.org/keywords/keratinization","display_name":"keratinization","score":0.47999998927116394},{"id":"https://openalex.org/keywords/sun-exposure","display_name":"sun exposure","score":0.49300000071525574},{"id":"https://openalex.org/keywords/malignant-transformation","display_name":"malignant transformation","score":0.6150000095367432},{"id":"https://openalex.org/keywords/biopsy","display_name":"biopsy","score":0.5070000290870667},{"id":"https://openalex.org/keywords/surgical-excision","display_name":"surgical excision","score":0.7540000081062317},{"id":"https://openalex.org/keywords/histopathology","display_name":"histopathology","score":0.6240000128746033}],"concepts":[{"id":"https://openalex.org/C152076505","wikidata":"https://www.wikidata.org/wiki/Q1126540","display_name":"French horn","level":2,"score":0.8776282668113708},{"id":"https://openalex.org/C81241287","wikidata":"https://www.wikidata.org/wiki/Q189474","display_name":"Keratin","level":2,"score":0.8089855313301086},{"id":"https://openalex.org/C2779399171","wikidata":"https://www.wikidata.org/wiki/Q1483951","display_name":"Malignancy","level":2,"score":0.7143243551254272},{"id":"https://openalex.org/C2775934546","wikidata":"https://www.wikidata.org/wiki/Q179991","display_name":"Biopsy","level":2,"score":0.4506703019142151},{"id":"https://openalex.org/C16005928","wikidata":"https://www.wikidata.org/wiki/Q171171","display_name":"Dermatology","level":1,"score":0.41304081678390503},{"id":"https://openalex.org/C105702510","wikidata":"https://www.wikidata.org/wiki/Q514","display_name":"Anatomy","level":1,"score":0.39775267243385315},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3936406373977661},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.37549445033073425},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.3293742537498474},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.08993557095527649},{"id":"https://openalex.org/C19417346","wikidata":"https://www.wikidata.org/wiki/Q7922","display_name":"Pedagogy","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D004427","descriptor_name":"Ear Diseases","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D004427","descriptor_name":"Ear Diseases","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D004427","descriptor_name":"Ear Diseases","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D004427","descriptor_name":"Ear Diseases","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D004427","descriptor_name":"Ear Diseases","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D004427","descriptor_name":"Ear Diseases","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007642","descriptor_name":"Keratosis","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D007642","descriptor_name":"Keratosis","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D007642","descriptor_name":"Keratosis","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D007642","descriptor_name":"Keratosis","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D007642","descriptor_name":"Keratosis","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D007642","descriptor_name":"Keratosis","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014432","descriptor_name":"Tympanic Membrane","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D014432","descriptor_name":"Tympanic Membrane","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D014432","descriptor_name":"Tympanic Membrane","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1177/014556131509400214","doi":"https://doi.org/10.1177/014556131509400214","is_oa":true,"landing_page_url":"https://doi.org/10.1177/014556131509400214","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/014556131509400214","source":{"id":"https://openalex.org/S2755060417","display_name":"Ear Nose & Throat Journal","issn_l":"0145-5613","issn":["0145-5613","1942-7522"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Ear, Nose & Throat Journal","raw_type":"journal-article"},{"id":"pmid:25651354","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/25651354","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Ear, nose, & throat journal","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.1177/014556131509400214","doi":"https://doi.org/10.1177/014556131509400214","is_oa":true,"landing_page_url":"https://doi.org/10.1177/014556131509400214","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/014556131509400214","source":{"id":"https://openalex.org/S2755060417","display_name":"Ear Nose & Throat Journal","issn_l":"0145-5613","issn":["0145-5613","1942-7522"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Ear, Nose & Throat Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9537000060081482}],"sustainable_development_goals_aurora":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.4099999964237213}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W64313845.pdf","grobid_xml":"https://content.openalex.org/works/W64313845.grobid-xml"},"referenced_works_count":5,"referenced_works":["https://openalex.org/W2025821336","https://openalex.org/W2050971055","https://openalex.org/W2058561470","https://openalex.org/W2135718729","https://openalex.org/W2828078636"],"related_works":["https://openalex.org/W1989594554","https://openalex.org/W2067746951","https://openalex.org/W1486844542","https://openalex.org/W2013704122","https://openalex.org/W1985876268","https://openalex.org/W2073049453","https://openalex.org/W2126332265","https://openalex.org/W1521840795","https://openalex.org/W2404034801","https://openalex.org/W585840735"],"abstract_inverted_index":{"A":[0],"keratin":[1,44,97],"horn":[2,45,78],"is":[3,68,115],"a":[4,26,43,47,61,71,87,105],"horn-like":[5],"projection":[6],"composed":[7],"of":[8,18,28,66,76,95,111,119],"dense":[9],"keratotic":[10],"material.":[11],"It":[12,21],"usually":[13],"arises":[14],"in":[15,55,60,104,125],"sun-exposed":[16,62],"areas":[17],"the":[19,74,77,83,101,109,116,126],"body.":[20],"can":[22],"be":[23,123],"derived":[24],"from":[25,73,100],"variety":[27],"underlying":[29],"benign,":[30],"premalignant,":[31],"or":[32],"malignant":[33,40],"epidermal":[34],"lesions.":[35],"Risk":[36],"factors":[37],"associated":[38],"with":[39],"change":[41],"within":[42],"include":[46],"wide":[48],"base,":[49],"male":[50],"sex,":[51],"and":[52,79],"increasing":[53],"age,":[54],"addition":[56],"to":[57,69,122],"an":[58,91],"origin":[59],"area.":[63],"The":[64],"mainstay":[65],"management":[67],"obtain":[70],"biopsy":[72],"base":[75],"subsequent":[80],"excision":[81],"if":[82],"histopathologic":[84],"analysis":[85],"suggests":[86],"malignancy.":[88],"We":[89],"report":[90,118],"extremely":[92],"rare":[93],"case":[94],"bilateral":[96],"horns":[98],"arising":[99],"tympanic":[102],"membranes":[103],"64-year-old":[106],"woman.":[107],"To":[108],"best":[110],"our":[112],"knowledge,":[113],"this":[114],"first":[117],"its":[120],"kind":[121],"published":[124],"English-language":[127],"literature.":[128]},"counts_by_year":[{"year":2021,"cited_by_count":1},{"year":2017,"cited_by_count":1}],"updated_date":"2026-09-29T14:09:16.559479","created_date":"2025-10-10T00:00:00"}