In cases where the problem is limited to the hole in the eardrum, if inflammation is not observed by protecting the ear from water only, the surgery is performed according to the patient's preference. Hearing loss in simple membrane holes is around 30%, and these patients are not necessarily in the group that needs surgery. On the other hand, there is a possibility of life-threatening problems in the presence of cholestatoma and inflammation that dissolves the middle ear and inner ear bones, and these patients should definitely undergo surgery.
Source: http://www.kbb.org.tr