Background: Traumatic tympanic membrane perforation is quite common and is traditionally treated by observation approach.

Aim: To evaluate the role of medicated gelfoam plug in healing of acute traumatic tympanic membrane perforation.

Methods:  A prospective study was conducted in seventy eight consecutive patients of acute traumatic tympanic membrane perforation. Margins of perforation were reposited in original position with suction tip or sickle knife and medicated gelfoam plug was put over it to act as scaffolding.

Results: There were seventy eight subjects in age groups of 16–55 years, 50 being males and 28 females. Slap & sports injuries were common etiological factors. Hearing loss 64(82.05%) and tinnitus 15(19.23%) were commonest presenting symptoms. Mean pre and post–operative conductive hearing loss was 19.5 dB (8–40) and 7.28dB respectively. Two refractory cases underwent type–1 cartilage tympanoplasty. Overall success rate was 97.43.

Conclusion:  Medicated gelfoam plug a simple, quick and very economical procedure gives excellent results (97.43%).