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together with its perichondrium and the chondrophytes which are always formed, is the only procedure which offers a speedy and definite cure. Occasionally a suspicious looking neighboring cartilage should also be removed, especially if it shows small areas of loss of substance filled with granulation tissue. Any treatment more conservative than the above is very unsure, and may be followed by a fistula lasting many months or even a year. 2. Sprengel reports the case of a woman forty-two yearsdoi:10.1056/nejm190806041582313 fatcat:m6i5gibc5zbmzioeabd3tfmf6u