A common complaint we often see patients for are itchy ears. The don’t hurt or drain… They just itch… a lot…There are a few common causes of such itchy ears including earwax, allergies, and a piece of hair in the ear canal. However, there are a few other etiologies which are not often considered.
Ear Canal Dermatitis
Yes… the skin of your ear canal can become dry and irritated (just like the hands after washing your hands too often). People sometimes complain of very dry flaky earwax with this condition, similar to the dry flaky skin of psoriasis.
Fungal Otitis Externa
Also known as thrush of the ears. This often happens when antibiotics are given repeatedly over time for an “ear infection” whether in ear drop or oral pill form. Pain may be present, but even with pain, the adjective itchy is always included.
Treatment is also a snap… anti-fungal cream! We like to use lotrisone for this condition. However, the other key to successful treatment is complete debridement of the ear canal prior to cream insertion. Also, when the cream is used, one needs to completely fill the ear canal from eardrum to ear canal entrance.
Often, one single treatment is all that is required!
Worst comes to worst, antifungal powder can be tried.