Care for a Damaged Eardrum

Expert evaluation for perforated eardrums, hearing changes, and ear complications.

Robert Downey Jr

Understanding an Eardrum Perforation

An eardrum perforation is a hole or tear in the tympanic membrane, or eardrum. It may result from an infection, trauma such as a cotton swab injury, a slap to the ear, or a sudden pressure change, or as a complication of ear tube placement. Small perforations may heal on their own, while larger or persistent perforations generally do not.

Symptoms of an Eardrum Perforation

  • Hearing loss, usually conductive, because the eardrum is not vibrating normally

  • Ear drainage, particularly with water exposure or infection

  • Ear pain when the injury occurs

  • Tinnitus

  • Increased susceptibility to ear infections

Tympanoplasty: Surgical Repair

Tympanoplasty is a surgical procedure used to repair an eardrum perforation. A small graft, typically taken from tissue behind the ear or cartilage, is used to close the hole. The goal is to restore the eardrum, improve hearing, and reduce the risk of recurring infections.

In some cases, the middle ear bones, or ossicles, are also damaged and need reconstruction. This procedure, called ossiculoplasty, may be performed at the same time or as a staged procedure.

Recovery After Tympanoplasty

Recovery typically involves keeping the ear dry for several weeks and avoiding activities that increase ear pressure. When hearing improves, the change is usually noticeable within a few months as the graft heals.