Traumatic Perforation of the Tympanic Membrane By Richard T Miyamoto, MD, MS, Indiana University School of Medicine Reviewed / Revised Mar 2022 | Modified Sep 2022 View Patient Education Symptoms and Signs Diagnosis Treatment Key Points Topic Resources Traumatic Perforation of... Traumatic perforation of the tympanic membrane (TM) can cause pain, bleeding, hearing loss, tinnitus, and vertigo.