Second, eardrum holes often cause hearing loss, since sound is not properly conducted into the cochlea (inner ear where sound is processed). Infection occurs as germs pass through the opening, usually carried there by water in the ear canal. First, the middle ear behind the eardrum becomes more prone to infection. A small hole may heal itself naturally, but most cases require surgical repair.Ī perforation needs to be repaired for three reasons. A hole can range in size from a very small puncture to the entire eardrum. The eardrum is about the size of your first fingernail. “A hole in the eardrum may not be as complex as some ailments, but it does make a big impact on quality of life and can become serious over time,” says Ear, Nose & Throat (ENT) otologist Paul R.
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