How are tympanic membrane perforations (TMPs) diagnosed?

Updated: Dec 14, 2020
  • Author: Robert A Saadi, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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The only symptom of a TMP may be associated hearing loss from decreased vibratory function of the tympanic membrane. Perforations associated with infection may present with drainage (otorrhea) or pain (otalgia). Most TMPs are diagnosed using routine otoscopy. Small perforations may require otomicroscopy for identification. Some hearing screening programs include middle ear impedance testing, or tympanometry.

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