Can tympanic membrane perforation be treated medically or always tympanoplasty indicated?

Can tympanic membrane perforation be treated medically or always tympanoplasty indicated?

We wait for 3 months so that the perforation heals on it’s own.

We may use antibiotics or medications with proper hygiene to keep the ear dry.

If the perforation remains after 3 months, it has become permanent and we surgically repair the defect.

antibiotics should not be used

Only wait and watch

And keep ear dry

It will heal in period of 3 months

Just keep ear dry and free of infection and wait till 3 months. If ear is infected only then antibiotics required here .

Even if it heals by 2 layers, it is good enough .