There are many causes of tympanic membrane perforation, including trauma and inflammation. Therefore, whether a tympanic membrane perforation can heal on its own needs to be analyzed in relation to the cause. In general, most small tympanic membrane perforations caused by trauma can heal on their own if the patient recovers well and there is no infection. However, if the perforation is large, or if infection develops after the perforation, it is difficult to heal completely on its own, and timely treatment is needed to avoid affecting the hearing. In the case of acute suppurative otitis media, the perforation can heal on its own after the infection is controlled and the inflammation has completely subsided. In cases where the perforation does not heal, the tympanic membrane perforation can be surgically repaired. Patients with tympanic membrane perforation should seek prompt medical attention from the ENT department to remove foreign bodies, clots, pus, etc. from the external ear canal. During the treatment period, flushing and medication are prohibited in the external ear canal, avoid catching a cold, and do not blow your nose with force.