Otitis media puncture is a little painful, but most patients can tolerate it. Tympanic membrane puncture is mainly considered for cases of secretory otitis media where there is a large amount of fluid in the tympanic chamber when long-term medication has failed. The main purpose of the procedure is to relieve the patient’s condition by entering through the anterior lower quadrant of the tympanic chamber and extracting the fluid from the tympanic chamber. Generally, before tympanocentesis, the doctor needs to disinfect the inside of the ear canal. The tympanic membrane is then surface anesthetized with 2% bupivacaine or some other type of surface anesthetic, and the tympanic membrane is punctured after the anesthesia has taken effect. The procedure may be somewhat painful, but most patients can tolerate it and the pain is not very severe. If the patient is afraid of pain, the procedure can be performed under general anesthesia, where there is no significant pain. After the tympanic membrane is pierced, the surgeon will need to place sterile dry cotton balls in the ear canal to keep the ear canal dry and hygienic and to prevent outside dust from entering the ear canal. Overall, an otitis media puncture is a little painful, but the pain is not noticeable.