Morpho-functional partition of the middle ear cleft.

The observation of an inter-attico-tympanic diaphragm in the middle ear (ME) cleft and the functional histology of the mucosa lead to a concept of ME morpho-functional partition. There are two separate compartments: an antero-inferior one, principally devoted to the muco-ciliary clearance function, and a postero-superior one, more devoted to the gas exchange function. With this concept of partition the mechanisms involved in the pathogeny of "otitis media" can be better understood.