Tympanic membrane perforation; Eardrum - ruptured or perforated; Perforated eardrum
A ruptured eardrum is an opening or hole in the eardrum. The eardrum is a thin piece of tissue that separates the outer and middle ear. Damage to the eardrum may harm hearing.
Ear infections may cause a ruptured eardrum. This occurs more often in children. The infection causes pus or fluid to build up behind the eardrum. As the pressure increases, the eardrum may break open (rupture).
Damage to the eardrum can also occur from:
Ear pain may suddenly decrease right after your eardrum ruptures.
After the rupture, you may have:
The health care provider will look in your ear with an instrument called an otoscope. If the eardrum is ruptured, the doctor will see an opening in it. The bones of the middle ear may also be visible.
Pus draining from the ear may make it harder for the doctor to see the eardrum.
Audiology testing can measure how much hearing has been lost.
You can take steps at home to treat ear pain.
The opening in the eardrum most often heals by itself within 2 months if it is a small hole. Keep the ear clean and dry while it is healing.
Your provider may prescribe antibiotics (oral or ear drops) to prevent or treat an infection.
Repair of the eardrum might be needed for larger holes or ruptures or if the eardrum does not heal on its own. This can be done either in the office or under anesthesia.
The opening in the eardrum most often heals by itself within 2 months if it is a small hole.
Hearing loss will be short-term if the rupture heals completely.
Rarely, other problems may occur, such as:
If your pain and symptoms improve after your eardrum ruptures, you may wait until the next day to see your provider.
Call your provider right away after your eardrum ruptures if you:
DO NOT insert objects into the ear canal, even to clean it. Objects stuck in the ear should only be removed by a provider. Have ear infections treated promptly.
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Kerschner JE, Preciado D. Otitis media. In: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. Nelson Textbook of Pediatrics. 20th ed. Philadelphia, PA: Elsevier; 2016:chap 640.
Klein JO. Otitis externa, otitis media, and mastoiditis. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 62.
Last reviewed on: 5/25/2016
Reviewed by: Sumana Jothi, MD, specialist in laryngology, Assistant Clinical Professor, UCSF Otolaryngology, NCHCS VA, SFVA, San Francisco, CA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.