Patients with hard pockets behind the ear can be divided into the following cases, each of which needs to be compared to different treatments: In the first case, the patient may have papillitis formed behind the ear due to inflammation. It is recommended to actively use antibiotics orally, such as cefprozil capsules, and then apply mupirocin ointment evenly on the surface of the hard pockets, which can effectively play the role of anti-inflammation and swelling. In the second case, it is mainly considered that the patient has fibroids behind the ear or sebaceous cysts for a long time, which may become hard after the inflammation is confined to the plan, and it is recommended to actively consider surgical treatment. In the third case, it is considered that the patient has a malignant swelling behind the ear, which often requires complete excision followed by radiotherapy to avoid recurrence after active treatment, and the patient’s condition will improve.