“…We would like to thank Dr. Zheng-cai Lou for valuable and precise comments on our article. 1 Firstly, the main outcomes of type 1 pediatric tympanoplasty are the graft success rates and postoperative hearing outcomes. Our results indicate that the graft success rate was 92.1% of the cartilage group compared with 65.0% of the temporal fascia group, respectively.…”