Morphology, Function, and Clinic of the Eustachian Tube. Diagnostic and treatment of diseases of the Eustachian tube are difficult due to the deep position underneath the skull base and its oblique course. Several theories exist explaining the normal and disturbed function. Few sufficient tests for functional evaluation exist. Gross anatomical and microscopical features of the Eustachian tube gained from 30 sectional series were correlated with radioanatomical findings of high resolution magnetic resonance tomography (MRT) of 29 adult persons without ear disease. Differences to MRT of 31 patients with tubal disease or disturbed ear ventilation were evaluated. Tubal cartilage (TC), musculus tensor veli palatini (MTVP), and Ostmanns fat pad have a characteristical shape, that is correlated to normal function. The zone of physiological tubal closure is found in the vicinity of the isthmus. For precise imaging of these anatomical tubal structures using of special simple or double angulation of MRT-planes is necessary. Open tube disease often shows a typical atrophy of the Ostmans fat pad in the physiological closing zone. Causes of obstruction are found in different parts of the tube. Atrophy and hypertrophy of mucous membrane are also shown as a pathogenetic factor. In many cases disturbed function of the Eustachian tube is correlated to impaired anatomical structures which may be identified by MRT. Treatment should be planned according to afflicted structures. A synopsis of anatomy, physiology, and clinical characteristics is presented.