Dolls 6-12 months of age External ear eczema and otitis media are most common. It can also be seen in fungal otitis externa. Eczema of the outer ear at 6 months is not as typical as the onset of 0-6 month old babies, usually the visit reveals blood crusts on the skin of the auricle from scratching, unsmooth mucous membrane of the outer ear canal with flaking or yellow crusts, etc. This condition does not easily attract the attention of parents and doctors. Otitis media is more common. 6 months old infants and children are predominantly affected by secretory otitis media. The cumulative incidence of the first episode is 35-85%. The doll has mild intermittent ear pain, ear swelling, ear stuffiness and discomfort, so scratching the ear, or emotional irritability. There are also some cases of early suppurative otitis media with ear pain and ear stuffiness accompanied by crying and restlessness. When you encounter this situation, you must seek medical examination and treatment in time to avoid hearing loss. Some children cry so frequently that experienced pediatricians often refer them to an otologist to rule out middle ear disease if they cannot find the cause. Some dolls have eczema of the outer ear combined with otitis media, which can be a lengthy treatment process. A small percentage of dolls have fungal otitis externa. In the early stage, it is not easy to be detected, but only shows discomfort from scratching the ear. Later, it is found that the white beanbag-like secretion in the external ear canal is blocked, and when accompanied by inflammation, watery or thin paste-like material flows out, and the mucous membrane of the skin at the mouth of the external ear canal is eroded and red. In actual life and clinical work, these diseases are not typical and not easily detected, and they are also not taken seriously by parents and doctors, unaware that these inconspicuous diseases often make dolls extremely uncomfortable and disrupt normal rest and sleep. Sometimes we find dolls scratching their ears without any of the above-mentioned conditions, and we can’t find the cause. Experienced doctors will find that there are scattered ear flakes attached to the ear hairs in the ear canal, which cause itching as the jaw joint moves or the air flows, causing the ear hairs to vibrate with the flakes. In this case, if you wipe the ear canal with a cotton swab dipped in saline or alcohol, the symptoms disappear immediately. You may want to give it a try.