The most important symptoms of tympanic membrane rupture or perforation are ear pain, bleeding and hearing loss. The general causes of tympanic membrane rupture can be twofold: 1. Acute perforation of the tympanic membrane caused by external forces, this perforation is usually in the flaccid part of the tympanic membrane, often found in the flaccid part a round or oval perforation with fresh blood oozing out, patients can experience ear pain, hearing loss, tinnitus, dizziness and other related symptoms. In the treatment of this hemispheric tympanic membrane perforation oral anti-inflammatory drugs are required to avoid local infection. Also avoiding water in the external ear canal, avoiding colds and not blowing the nose hard can heal itself in about a month. If it does not heal itself after one month, tympanic membrane repair is required.2. Tympanic membrane perforation due to acute inflammatory infection is often suppurative otitis media. When inflammation is high, it can cause retrograde infection of the eustachian tube and cause fluid accumulation in the middle ear cavity resulting in tympanic membrane perforation, usually in the tense part of the tympanic membrane in a large circular shape. Local examination reveals purulent discharge from the external ear canal, and the patient will experience ear pain, headache, dizziness, hearing loss, tinnitus and other related symptoms. In terms of treatment, firstly, symptomatic anti-inflammatory treatment is needed, and the inflammation can be controlled by infusion of ceftriaxone sodium and cefotaxime sodium. After the inflammation is controlled for six months and the ear is dry, then tympanic membrane repair is needed.