You should wait for six to eight weeks to see if this perforation heals by itself. Do continue your medications. Are you sure that this is a new perforation or is this a failure of healing? How is your hearing now? Is your perforation wet or dry? If this perforation is wet, I recommend an ear swab be sent for culture and antibiotic sensitivity. Is it possible for you to obtain endoscopic photographs of your eardrum
and perforation? If this perforation persists, try instilling ciprofloxacin
ear drops. If these ear drops are felt in the throat, it indicates that the eustachian tube is not blocked. Though this does not guarantee function, it indicates that the eustachian tube may recover. This perforation will help equalize the pressure across the eardrum till the eustachian function recovers. Unless your nasal and sinus
infections are controlled, these problems may reoccur. Keep your sugar levels under control. Keep a tighter follow-up schedule (weekly of fortnightly).