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The Henle's Spine (HS)/spina suprameatica/spina suprameatalis/meatal spine or spina meatus, is a small bony prominence anterior to the supramastoid pit at the posterosuperior margin of the bony external acoustic meatus (Figure 1).
Otitic cerumen and inspissated pus were collected from external ear close to external acoustic meatus with the help of sterile swabs moistened with sterile saline solution, while aural discharges were collected with dry sterile swab to perform cytological examination, bacteriological and mycological culture to identify the etiological agents.
Surgeons, anatomists, and others from the US, Europe, Asia, Canada, and Qatar provide 21 chapters on the neurocranium and facial skeleton, skull base, soft tissues, arteries, veins, nerves, muscles, orbit, eyelid, nasal cavity and paranasal sinuses, external nose, auricle and external acoustic meatus, oral cavity and pharynx, and neck, with drawings, interoperative photos, and radiologic images.
In rare circumstances, patients may exhibit perforation of the tympanic membrane with blood gushing from the external acoustic meatus.

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