What Leads to Eardrum Perforation?

Eardrum perforations are often caused by infections, injury, or Eustachian tube disorders. Middle ear infections can build up pressure, leading to a rupture. Trauma to the ear or head, loud noises, improper ear cleaning, and chronic Eustachian tube problems are also common causes.

Primary ENT specialist examining a patient

Recognizing Symptoms

Sudden sharp pain or discomfort

Discharge that may be bloody, clear, or pus-like

Buzzing or ringing (tinnitus)

Partial or complete hearing loss in the affected ear

Ear infection with pain, discharge, and fever

Facial weakness or dizziness in severe cases

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Treatment & Prevention

Diagnosis typically involves an otoscope examination. Treatment depends on severity and cause: observation (many perforations heal naturally within a few months), antibiotics to prevent or treat infection, pain management with over-the-counter medication and warm compresses, surgical repair (tympanoplasty) for larger perforations, and keeping the ear dry and protected during healing. To help prevent perforation, avoid inserting objects like cotton swabs or bobby pins into the ear canal, protect your ears from loud noises, and treat ear infections promptly. If earwax buildup is part of the picture, resist the urge to clear it yourself while the eardrum heals — water and home tools are exactly what to avoid during this window.

When to Seek Medical Attention

If you're experiencing symptoms of eardrum perforation or have concerns about your ear health, seek an evaluation — don't let it affect your quality of life.

Primary ENT specialist examining a patient
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