An Eardrum Has Ruptured—Acute Perforation Of The Eardrum. An Eardrum Has Ruptured—Acute Perforation Of The Eardrum.: A ruptured eardrum has a hole or tears in it. A ruptured eardrum can impair your hearing and balance. If your eardrum has been burst, it will generally mend on its own. However, surgery is occasionally required to restore…