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Tympanic membrane perforation; Eardrum - ruptured or perforated; Perforated eardrum
The doctor will look in your ear with an instrument called an otoscope. If the eardrum is perforated, the doctor will see an opening in it, and may even see the bones of the middle ear.
Sometimes it is hard for the doctor to see the eardrum because of drainage (pus)from the ear.
Audiology testing can measure the extent of hearing loss.
Bauer CA, Jenkins HA. Otologic Symptoms and Syndromes. In: Cummings CW, Flint PW, Haughey BH, Robbins KT, Thomas JR, eds. Otolaryngology: Head & Neck Surgery. 4th ed. Philadelphia, PA: Mosby Elsevier; 2005: chap 126.
Ramakrishnan K, Sparks RA, Berryhill WE. Diagnosis and treatment of otitis media. Am Fam Physician. 2007; 76(11):1650-8.