Perforated eardrum is a hole in the eardrum. It is most commonly caused due to the impact from the blast, if a person pushes the sharp objects into the ear, or after a hit. Though heavy pressure is required for the eardrum to rupture, this pressure can also be achieved by a strong slap on the face. Other causes are skull fractures and, more often, middle ear infections (see acute middle ear infection and chronic middle ear infection articles). During some ear surgeries, the eardrum has to be cut open to allow access to the middle ear.
Symptoms of perforated eardrum are pain (usually mild) in the ear, sometimes hearing loss and ringing and, occasionally, ear bleeding. Symptoms typically last only a few hours. There is also a risk of middle ear infection through the broken eardrum. If you suspect you have perforated eardrum, contact your doctor as soon as possible.
Self-help: to ease the pain cover your ear with a clean, dry cloth and take pain relief, e.g. paracetamol.
Professional help: your doctor will prescribe antibiotic tablets or capsules or prevent or suppress infection. You have to go to control until the eardrum is healed – usually after one or two weeks. If the eardrum is not healed after three months, you will need to perform a minor surgical procedure to transplant tissue pieces (from your body) to the eardrum. This operation usually removes the problem. When the perforated eardrum heals, the problem is solved and the hearing is not in danger.