H65-H75: Diseases of middle ear and mastoid

H72: Perforation of tympanic membrane

Perforation of the tympanic membrane, also known as a ruptured or punctured eardrum, is a condition in which a hole or tear occurs in the thin tissue separating the ear canal from the middle ear. This damage can be the result of various causes including infection, trauma, loud noises or drastic changes in air pressure. Symptoms typically involve pain which may be sudden and severe, hearing loss, ringing or buzzing in the ear (tinnitus), and sometimes discharge including blood. The progression of the condition varies depending on the cause and the size of the perforation. Small perforations often heal by themselves while larger ones may require medical intervention. This condition affects the auditory (hearing) system and if left untreated, can potentially lead to complications like permanent hearing loss or middle ear infection.