Hole in the Ear Drum Outline
Tympanic Membrane Perforation
Any age group
- No symptoms
- Hearing loss
Seen in the older child to young adult who has a history of trauma to the ear. Usually after a slap to the ear, high diving injury or water skiing injury. Perforation can also be the result of repeated ear infections.
- Ear drum with a hole in it
- Greenish or bloody drainage (purulent)
Most common complaint is a blocked feeling with decreased hearing
- Conductive hearing loss
- Tympanometry—Unable to get a seal
- Usually no treatment needed, if not infected
- Antibiotic ear drops
- Antibiotics by mouth
- Surgical closure
Most of the perforations heal without anything being done. The ones that don’t heal usually get infected first. The patient should be cautioned against getting any water in the ear.
All patients with this problem need to be seen by their doctor.
Taking precautions to protect the ears when diving.