23/08/2026
Perforated Eardrum: Causes, Signs & Management
A perforated eardrum, or tympanic membrane perforation, is a hole or tear in the thin membrane separating the ear canal from the middle ear. Many small perforations heal on their own, but some need specialist treatment.
π£ Common Causes
β Middle-ear infection causing pressure and rupture of the eardrum
β Sudden pressure changes from flying, diving, or explosions
β Direct injury from cotton buds, hairpins, or other objects placed in the ear
β Head or ear trauma
β Very loud noise or blast injury
π£ Common Signs and Symptoms
β Sudden ear pain, which may improve after the eardrum ruptures
β Reduced or muffled hearing
β Ringing in the ear, called tinnitus
β Fluid, pus, or blood draining from the ear
β Feeling of fullness or pressure in the ear
β Dizziness or vertigo may occur
π£ Signs Suggesting Infection
β Fever
β Ear discharge that is yellow, green, or foul-smelling
β Increasing ear pain
β Reduced hearing
β Persistent infection may delay healing
π£ Management
β Keep the ear dry while it heals
β Avoid swimming unless cleared by a healthcare professional
β Use petroleum-coated cotton at the outer ear during showering if advised
β Do not put cotton buds, oils, or unprescribed drops into the ear
β Pain-relieving medicines may be used when appropriate
β Antibiotic ear drops or oral antibiotics may be prescribed if infection is present
π£ Healing
β Many small perforations heal naturally within several weeks
β Hearing often improves as the eardrum closes
β Persistent perforations may require an eardrum patch or tympanoplasty surgery
β Hearing testing may be needed if hearing loss continues
π£ Important Precautions
β Do not blow the nose forcefully
β Avoid pressure changes such as diving until the eardrum has healed
β Do not use ear drops unless they are confirmed safe for a perforated eardrum
β Avoid inserting anything into the ear canal
π£ When to Seek Medical Help
β Ear discharge continues