‘Lateral meatal Fossa’ and ‘lateral meatal tissue pad’, new anatomic landmarks on the lateral part of external bony ear canal posterosuperiorly just beneath the suprameatal spine which when identified and taken into consideration, may have a definite advantage in retroauricular approach to middle ear surgery. The bony external ear canal also may be divided in two parts as lateral and medial bony external ear canal. Therewithal tympanomeatal flap covering canal may be denominated to lateral tympanomeatal flap and medial tympanomeatal flap.