Perforation of the eardrum should be a perforation of the tympanic membrane, which can be treated conservatively in some cases. Most eardrum perforations are a clinical manifestation of acute and chronic suppurative otitis media, but can also be caused by trauma such as puncture wounds, pneumatic injuries, and temporal bone fractures. However, if the perforated eardrum is caused by trauma, it usually heals on its own with proper treatment. If the perforation is formed after tympanotomy and tube placement, the perforation can usually heal on its own after the function of the Eustachian tube is restored. Therefore, conservative treatment can be adopted. Some perforations caused by acute suppurative otitis media may heal on their own after active infection control. If the perforation of the eardrum caused by chronic suppurative otitis media, or the perforation of the eardrum left over from acute suppurative otitis media does not heal for more than 3 months, surgical treatment should be considered. The decision to opt for conservative treatment also needs to be made after communication between the patient and the doctor. If tympanic membrane perforation occurs, it is important to go to the hospital in time to prevent complications that may affect the patient’s hearing.