dear user thanks for contact HCM brief answer this could be treated with selective antibiotic and ibubrufen as analgesic and avoid ear drops ..it will take awhile time if small perforation of tympanic membrane detailed answer this tinnitus and pain caused by tympanic rupture is common symptoms of this rupture and no worry of that..tympanic membrane perforation is a complication of infection of ear was not treated effective...so he should take effective antibiotic injections like amoxicillin or cefoperazone and avoid ear drops....if tympanic membrane perforation small will improve by time and heal ....should take ibubrufen as analgesic and antiinflammatory to relief of pain and follow up with ENT hope that helps