Can a ruptured eardrum heal itself?

  Usually, if the eardrum rupture is small, it will gradually heal on its own without clinical intervention. If the rupture is large and damages other structures in the ear, it will not heal on its own and will require surgery or other related treatment.  The eardrum is the tympanic membrane, and perforation of the eardrum is usually caused by trauma or infection. If the rupture is small and is not accompanied by damage to other parts of the ear, it can usually be observed for three months and most patients can heal on their own. In addition, if the tympanic membrane is ruptured over a large area, or if the tympanic membrane is perforated due to chronic suppurative otitis media, the patient will have difficulty healing on his own and will need to undergo treatment such as tympanic membrane repair under the guidance of an otolaryngologist, as well as controlling inflammation with antibiotics or intravenous drips.  Patients are advised to avoid water in the ear during the treatment period to ensure clean and dry ears to prevent secondary infection.