There is a lot of dandruff around the ears.

Under normal circumstances, the appearance of skin flakes around the ears may be caused by various factors, such as inadequate local ear hygiene, dry skin, auricular eczema, external otitis, or seborrheic dermatitis. Appropriate treatment methods should be selected based on the specific underlying cause. Detailed analysis is as follows:

1. Inadequate ear cleaning

If the ears are not cleaned regularly over a long period, flaking of the skin around the ears may occur. Regular ear cleaning can help remove earwax and dead skin flakes, preventing bacterial growth. Gently wipe the skin around the ears with warm water and a cotton swab; however, do not insert the cotton swab into the ear canal.

2. Dry skin

Dry skin may be related to weather conditions, insufficient fluid intake, or other factors. Excessive shedding of epidermal cells can lead to flaking around the ears. It is recommended to drink more water and maintain proper skin hydration in daily life to alleviate symptoms.

3. Auricular eczema

In individuals exposed to allergens, allergic reactions may develop on the skin, such as eczematous lesions, often accompanied by significant flaking on the earlobe. Topical medications such as tacrolimus ointment or triamcinolone acetonide acetic acid cream may be used under medical guidance.

4. External otitis

External otitis is a common condition seen in otolaryngology (ear, nose, and throat specialty), primarily caused by pathogen infection. Factors such as trapped water in the ear canal, trauma to the outer ear canal skin, or unhealthy ear habits may trigger the condition. Symptoms typically include skin flaking, itching, and pain in the external auditory canal, along with persistent flaking on the outer ear that seems difficult to fully remove. Treatment may include topical application of medications such as hydrocortisone butyrate cream or betamethasone dipropionate cream under a doctor's supervision.

5. Seborrheic dermatitis

When seborrheic dermatitis affects the contours of the ear, it may also cause the aforementioned symptoms, accompanied by erythematous scales, oiliness, flaking, and itching. Patients may seek treatment at a reputable medical facility where medications such as loratadine tablets or levocetirizine hydrochloride tablets can be prescribed to improve symptoms.

In addition, atopic dermatitis could also be a potential cause. Avoid over-cleaning the ears and refrain from using sharp objects or inserting anything into the ear canal to prevent injury and possible infection. If flaking is severe or accompanied by other symptoms such as itching or pain, prompt medical consultation is advised to receive professional evaluation and treatment.