ENT

Perforated Eardrum: Causes, Symptoms and Healing

A perforated eardrum is a hole or tear in the thin membrane separating the ear canal from the middle ear.

Causes and symptoms A perforation may follow infection, pressure injury, a blow to the ear, loud blast or insertion of an object. Symptoms can include sudden pain, drainage, reduced hearing, tinnitus or dizziness. Pain may decrease after an infected eardrum ruptures, but medical assessment is still needed.

Diagnosis The eardrum is examined with an otoscope or microscope. Hearing testing may be recommended, especially when hearing loss is noticeable or the perforation is large.

Treatment and healing Many small perforations heal naturally over several weeks. The ear should be kept dry, and unprescribed ear drops must be avoided because some medicines are unsafe when the eardrum is open. Infection may require suitable prescribed drops or other treatment.

When is surgery needed? A patch procedure or tympanoplasty may be considered when the hole does not heal, infections recur or hearing remains reduced. Seek urgent care for severe dizziness, facial weakness, major trauma or sudden marked hearing loss.

Frequently Asked Questions

Can a perforated eardrum heal itself?

Many small perforations heal naturally.

Can I swim?

The ear should be kept dry until a clinician confirms healing.

Are all ear drops safe?

No. Some are unsafe with an open eardrum.

When is surgery considered?

When the perforation persists or causes recurrent infection or hearing loss.

This information is for education only and does not replace medical assessment or treatment by a qualified physician.

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