After acute traumatic tympanic membrane perforation appears, there are two treatment measures, one is to repair the tympanic membrane in emergency surgery and do tympanic membrane repositioning treatment; the other is conservative observation treatment, that is, first of all, to prevent local infection, flushing and drops are strictly prohibited in the external ear canal, forceful nose blowing is prohibited, dirt and blood clots should be removed from the external ear canal, disinfected cotton balls should be placed at the mouth of the external ear canal after cleaning the external ear canal to keep the external ear canal clean and dry, and in the tympanic membrane Before the perforation heals, prevent water from entering the ear, apply antibiotics to prevent infection, and pay attention to preventing colds. For acute otitis media with perforated eardrum or chronic otitis media with acute onset of purulent discharge from the external ear canal, anti-inflammatory treatment, oral antibiotics, local flushing with hydrogen peroxide, ear baths with chloramphenicol ear drops or oxyfloxacin ear drops should be given to control the inflammation quickly. If the infection does not heal repeatedly, local secretion culture and drug sensitivity test should be performed, and the medication should be adjusted according to the results. For mycobacterial infections, antibiotics should be stopped and medications such as therapeutic fluconazole ear drops should be applied. For middle ear inflammation that does not heal for a long time or has granulation growth, or marginal perforation in the loose or tense part of the tympanic membrane, suspect middle ear lesions, complete CT and MR examinations as soon as possible to understand the full local picture and select surgical removal of the lesions and tympanoplasty. In chronic otitis media-induced or trauma-induced tympanic membrane perforation that does not heal, the site and extent of the tympanic membrane perforation should be examined at the hospital, and electrical auscultation, tympanic chamber pressure, CT, and other examinations should be done. If there is a broken ring of bone or a cholesteatoma, surgery must be done as soon as possible to remove the lesion and prevent complications; if the middle ear is simply inflamed, timely and reasonable treatment must be given to make it dry as soon as possible. For patients with tympanic membrane perforation and no pus flow, the doctor will examine whether tympanic membrane repair and shaping can be performed. If the tympanoplasty can be done properly, it will not only improve hearing, but also re-establish a barrier to prevent recurrent otitis media and avoid ototoxic damage caused by long-term use of ear drops. Surgery is an important means of tympanic membrane perforation treatment. For chronic otitis media with dry ears for 2 to 3 months, tympanoplasty can be considered: there are various technical methods of tympanoplasty such as built-in method, external method, sandwich method and full tympanoplasty, etc. There are various repair materials such as autologous temporalis fascia, ear screen cartilage membrane, cartilage, fat or allogeneic tissues, etc. It can be combined with surgery such as auditory chain shaping, external ear canal shaping and middle ear lesion removal, or It can be combined with other procedures such as ossicular chainplasty, external canalplasty, middle ear lesion removal, or performed alone, depending on the patient’s condition.