If it's traumatic perforation and recently happen, can heal , wait for atleast 4 to 8 week . If not healed then surgery required.
Next Steps
observation for 4-8 weeks, if not healed then do audiometry test n CT scan of temporal bone.
Health Tips
keep ear dry, don't allow water into ear, keep vaseline smeared cotton plug only during head bath, then throw it.
don't use ear bud