Traumatic tympanic membrane perforation is a common and frequent disease in otolaryngology, mostly caused by indirect or direct external injury, which then causes different degrees of hearing impairment and directly affects the quality of life and physical and mental health of patients. The causes can be divided into instrument injuries: such as ear-digging spoon, toothpick, etc. to pierce the eardrum; medical injuries: such as taking cerumen, foreign bodies in the external ear canal, etc. Pressure injuries: such as palm strike to the ear, firecrackers and diving, etc. Other causes include temporal bone fractures. Patients with traumatic tympanic membrane perforation often experience sudden ear pain, immediate hearing loss that may be accompanied by tinnitus, a small amount of bleeding from the external ear canal and a feeling of stuffiness in the ear after the tympanic membrane rupture. Hearing loss is less severe in simple tympanic membrane rupture. In addition to the rupture of the tympanic membrane, pressure injuries can also cause damage to the inner ear due to strong movement of the stapes, resulting in vertigo, nausea and mixed deafness. Therefore, patients should be highly alert when the above symptoms appear after trauma. Early detection and treatment are necessary. Traumatic tympanic membrane perforation is usually diagnosed based on the history of trauma, clinical manifestations and specialized examination. The vast majority of small traumatic perforations can heal spontaneously within 1-2 months. During this period, patients should avoid catching a cold and should not blow their nose hard to prevent infection from the nasopharynx, which can lead to pus in the ear; rinsing or drops in the external ear canal and swimming are absolutely forbidden during this period and may also lead to pus. If necessary, oral antibiotics can be given to prevent infection and dilation, and neurotrophic drugs can be given to promote tympanic membrane growth and reduce tinnitus. For larger traumatic tympanic membrane perforations that do not heal spontaneously, tympanic membrane repair is recommended, and most patients will recover a satisfactory level of hearing after surgery. In conclusion, when symptoms such as ear pain, hearing loss, tinnitus and small amount of bleeding from the external ear canal occur after trauma, you should be alert and go to the hospital in time.