I. Traumatic tympanic membrane perforation 1. Traumatic tympanic membrane perforation has the possibility of self-healing. 2. Traumatic tympanic membrane perforation should be protected by paying special attention to not allowing sewage into the ear and not using any medication in the ear. 3. If a traumatic tympanic membrane perforation does not heal on its own after more than 3 months, tympanic membrane repair surgery can be considered. Tinnitus may stop after repair. 2. Tympanic membrane perforation after tympanotomy 1. Secretory otitis media requires tympanotomy or tube placement for drainage, thus forming a perforation. 2. This type of perforation (or tube placement and removal) can generally heal on its own within 3 months. 3. If the perforation does not heal, tympanic membrane repair surgery may be considered. The tympanic membrane perforation caused by acute purulent otitis media can heal on its own within three months after the inflammation disappears. If the tympanic membrane does not heal in more than 3 months, tympanoplasty can be considered and the tinnitus can mostly disappear. 2. If the pus in the ear stops flowing and the tympanic chamber is dry, the perforation may also heal on its own. If it does not heal, tympanic membrane repair surgery can be considered. 3. Chronic suppurative otitis media may have tinnitus. The main treatment methods are: 1. For those who have pus, local treatment is mainly based on ear drops to promote the inflammation to subside and disappear as soon as possible. Usually, attention should be paid to prevent colds and sewage from entering the ear to avoid recurrence. 2. Upper respiratory tract infection or sewage entry causing recurrence of abscess: oral anti-inflammatory drugs or intravenous medication can be given; at the same time, local treatment and drops should be strengthened. 3.If the flow of pus stops for more than 3 months, the tympanic chamber is dry and free of inflammation, the function of the eustachian tube is normal, and there is no obvious nasal disease, tympanic membrane repair surgery can be considered. 4.If the chronic inflammation of mastoid cavity is more serious or there is cholesteatoma or tinnitus is more serious, surgery should be performed to treat the lesion of mastoid cavity. 5.If tinnitus still occurs after surgery for otitis media, or if tinnitus appears after surgery even though there was no tinnitus, it may be that inflammation still exists in the surgical cavity, and local anti-inflammatory treatment of the surgical cavity should be strengthened; tinnitus may disappear after the surgical cavity is dry. If tinnitus still occurs after the surgical cavity is dry, it may be either neurological tinnitus or the problem of otitis media has not been completely resolved. In this case, you should follow the doctor’s advice on the treatment of tinnitus depending on the examination. If neurogenic is considered, pure tone audiometry can be rechecked and treatment from a neurogenic tinnitus perspective can be administered.