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Tympanic membrane perforation is a condition as old as the human species. It is a common presentation in an E.N.T. unit and a frequent cause of morbidity. Objectives The aim of the study is to profile the etiological factors of Traumatic Tympanic Membrane perforation occurring in Ratnapura. Method A descriptive, prospective serial study was done at General Hospital Ratnapura. We analysed patients with tympanic membrane perforation during the study period of 6 months which started from 1st April 2015. Results Fifty-two (52) cases of traumatic tympanic perforations were seen. There were 21(40.4%) females and 31(59.6%) males. The mean age of younger patients ( =20yrs) it was 35yrs (STD 9.8). The commonest aetiology was due to blows to the ear (74.3%) and it commonly affects the left ear (80.8%) of the victim. The commonest symptom was hearing impairment (31%). Majority of the affected adults were females (51.4%) and the source of blow was the husband (64.3%). Conclusion and Recommendations Traumatic Tympanic membrane perforation is a common presentation. Educating school going children and taking steps to change social attitudes against violence especially against women may help to reduce incidence of Traumatic Tympanic membrane perforation.

Aetiology of Traumatic Tympanic Membrane Perforation in Ratnapura