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To the Editor.
—I have read the article by Dr. Joachim Heermann et al, in the March issue entitled "Fascia and Cartilage Palisade Tympanoplasty."I find the article difficult to understand. Do they try to create a satisfactory soundconducting system, etc, by using cartilage as a bridge which is then covered by fascia and then by canal skin that is left or a triple-layer sandwich graft? Only pictures of cartilage are given of many bridging structures. I can see the value of the latter, provided a nice tympanic membrane covers the lattices of cartilage.Please clarify the "basic" overall concept of the article.
Geniec P. PALISADE TYMPANOPLASTY. Arch Otolaryngol. 1970;92(3):304. doi:10.1001/archotol.1970.04310030094028
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