particularly at the meatus, is common
While it may be associated with external otitis or with seborrheic dermatitis or psoriasis, most cases are self induced from excoriation or overly zealous ear cleaning
To permit regeneration of the protective cerumen blanket, patients should be instructed to avoid use of soap and water or cotton swabs in the ear canal and avoid any scratching
Patients with excessively dry canal skin may benefit from application of mineral oil, which helps counteract dryness and repel moisture
When an inflammatory component is present, topical application of a corticosteroid (eg, 0
1% triamcinolone) may be beneficial