An ear drum perforation occurs when there is a hole or tear in the tympanic membrane, which separates the outer ear from the middle ear. This condition can result from various causes, including ear infections, loud noises, or physical injury. Symptoms may include pain, hearing loss, and fluid drainage from the ear. Most ear drum perforations heal on their own without treatment, but some cases may require medical intervention. Doctors may recommend keeping the ear dry and avoiding inserting objects into the ear canal. In persistent or severe cases, surgical options like tympanoplasty may be considered to repair the perforation.