Fever may cause burning in the ears. Most fevers are due to severe infections, autonomic dysfunction, etc., which cause abnormalities in the thermoregulatory function of the body temperature center. Patients produce too much heat and dissipate less heat, resulting in symptoms of elevated body temperature, when the skin of the ear also becomes hot. Hot ears can also be caused by other factors, such as temperature difference stimulation, auricular allergy, auricular chondromalacia, otitis externa, acute otitis media, etc. A large difference in temperature between indoors and outdoors, or when stimulated by cold, can cause local blood circulation disorders, resulting in congestion and swelling of the auricle, accompanied by burning. Exposure to allergens such as dust or alcohol allergy can cause the body to have a metamorphic reaction and allergic symptoms, resulting in burning of the skin of the ear, which may also be accompanied by local itching and other symptoms. Due to repeated pressure, touching the auricle, or stimulation such as trauma and infection, it can cause auricular chondromalacia, with local swelling and burning symptoms. Acute otitis externa is mostly caused by bacteria, fungi or metaplasia, and is clinically manifested by local redness, swelling, pain and burning, accompanied by purulent discharge. Acute otitis media is usually caused by pneumococcal and Haemophilus influenzae infections, and is associated with burning ears, pain, pus, hearing loss, and tinnitus. If the ear is burning due to fever, prompt treatment is required to reduce the fever. If it is caused by allergy, inflammation, etc., prompt symptomatic treatment should be given. Antihistamines can be used to treat allergies and antibiotics to reduce inflammation under the guidance of a doctor according to the symptoms.