The eardrum separates the middle ear from the outer ear and is a structure that transmits sound. Once a perforation of the eardrum occurs, it first affects the function of sound transmission, resulting in hearing loss and tinnitus. In severe cases, the patient may experience vertigo, dizziness and headache. Once this symptom is present, it may indicate a perforated eardrum. A perforated tympanic membrane may initially present with bleeding and pus. Once the perforation is combined with infection, pus will continue to flow from the ear, and there will be further hearing loss and a range of complications, such as increased tinnitus, increased vertigo, and in some cases facial nerve dysfunction. Therefore, tympanic membrane perforation can have some serious symptoms, hearing loss, tinnitus, and vertigo or facial nerve dysfunction.