For uncomplicated tympanic membrane perforation, how should it be managed?

Management of uncomplicated tympanic membrane perforation primarily focuses on promoting healing and preventing complications. Keeping the ear dry is crucial because moisture can lead to infections, which complicate the healing process and potentially worsen the perforation. This can be achieved by advising patients to avoid water exposure, such as swimming or submerging the ear in water during bathing.

Providing analgesia addresses any discomfort that the patient may experience. Since a perforated tympanic membrane can cause pain, managing this pain appropriately is an essential component of care.

In this context, the recommendation to use antibiotics immediately is not universally necessary for uncomplicated perforations, as many can resolve on their own without antimicrobial treatment. Similarly, performing an ear procedure or referring to an ENT specialist may not be indicated unless complications arise or the perforation does not heal with conservative management. Therefore, the most appropriate approach is to keep the ear dry and provide analgesia for symptom relief while allowing time for natural healing.