WHAT ARE THE LONG-TERM EFFECTS: As most individuals are able to equalize the pressure, there are no long-term effects. If a tympanic membrane rupture occurs, over 95% of these close spontaneously. Those that do not close may require surgical repair in order to create a safe ear and also to restore hearing. If there is a hearing nerve injury, most of those will have some recovery, but some of them may be permanent. Lastly, if there is an inner ear injury, most individuals will recover completely, except for some mild dizziness noted with rapid head or body movement.