Background: The incidence of perforations of the TM due to trauma is on the increase consequent to trauma, and increased violence and accidents seen in present-day life. The present study was conducted to assess tympanic membrane perforation in adult population. Materials & Methods:80 patients with tympanic membrane perforation of both genders were included. Clinical parameters such as cause of injury, side, site, complaints and type was recorded. Results: Left side was involved in 38 and right side in 42, Site was anterior in 46 and posterior in 30 and undefined in 4. Complaint was otalgia in 78, tinnitus in 70, otorrhoea in 80 and vertigo in 14. Cause was RTA in 32, domestic assault in 28 and armed robbery in 20. Type was penetrating in 56 and non- penetrating in 24. The difference was significant (P< 0.05). Conclusion: Most common side involved was right and road traffic accident was the main reason for tympanic membrane perforation.