What happens when the eardrum is perforated?

Many perforations heal on their own, but some persist or are associated with infection or hearing loss. Assessment considers the size and position of the perforation, whether the ear is dry or infected, hearing results and any history of repeated ear problems.

Keep the ear dry and avoid inserting anything into the canal until you have received advice. Some ear drops are unsuitable when the eardrum is not intact. If the perforation does not heal or causes ongoing problems, an ENT specialist may discuss repair options.

What to mention at your appointment

  • Whether the problem followed an infection, loud blast, flight or injury
  • Any discharge, ringing, dizziness or hearing change
  • Previous perforations, grommets or ear surgery
  • Ear drops or other treatments used recently
Protect the ear until it is assessed

Sudden hearing loss, severe dizziness, significant trauma or persistent discharge needs prompt medical attention. Avoid self-treating a suspected perforation with unprescribed drops.

This information is general and does not replace an individual medical assessment.