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BACKGROUND Despite the invigoration of cartilage graft in the last few years, very few literatures have been found regarding the use of the cartilage palisade tympanoplasty from the North-Eastern part of India. The aim of this study is to analyse the results of cartilage palisade graft technique in type 1 tympanoplasty in terms of the graft uptake, hearing improvement and postoperative complications. METHODS This hospital based prospective study was done from September 2018 to September 2019 including 21 patients of tubotympanic type of chronic otitis media. RESULTS Hearing improved significantly (p= 0.000) from 31.29 ± 6.81 dB to 14.95 ± 5.36 dB in the post-operative period in terms of ABG. The mean hearing gain was found to be 6.33 ± 6.96 dB. The graft uptake rate was 95.24%, without any significant post-operative complications. CONCLUSIONS High graft uptake rate, and highly significant audiometric outcomes in our study emphasises upon the usage of cartilage graft after slicing and palisading in the reconstruction of tympanic membrane even in primary cases without compromising the acoustic transfer characteristics.