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Memory Beta, non-canon Star Trek Wiki
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An Astian bi-tanle is a stringed musical instrument played by two musicians at once. The Astian bi-tanle was an instrument taught at the Tenaran Music Academy on Trill. (DS9 short story: Allegro Ouroboros in D Minor")

It's unclear whether "Astian" refers to an alien culture, or to some other way in which this particular instrument is distinctive.
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