Objective: To describe the anatomical and functional results of Cartilage tympanoplasty. Material and Methods:We realized a transversal descriptive study, involving patients operated by cartilage tympanoplasty in the otolaryngology department of Casablanca University Hospital from January 2015 to December 2018.Results: 107 patients were involved in this study. All the operations were performed under general anesthesia using the retro auricular approach in 98.1%. In 100 % of the cases, the grafting material was the cartilage. The underlay technique was applied in most of the cases. The anatomical and functional results evaluated over a mean follow-up of nine months are satisfactory. The tympanic closure was obtained in 96 % of cases. As a functional result, a hearing gain between 10 and 30 dB was obtained in 72.9%. Conclusion:Thanks to its resistance, acoustic properties and best long-term anatomical results, cartilage is the material of choice for recurrent perforation, large perforation, uncontrolled shrink pocket, tympanic membrane atelectasis and dysfunction of the Eustachian tube.