Very hot and slightly itchy ears are mainly seen in the following cases: First, physiological conditions. Special physiological periods, such as women’s menstruation or ovulation, or others, such as after exercise or ear rubbing. Second, it is seen in pathological conditions. A diseased condition, such as otitis externa, can lead to itchy ears, and the skin of the external ear canal is congested and dilated, which can also lead to a feeling of fever. Of course, this can be the case with otitis externa, and it can also be the case with infections of the ear. For otitis externa, treatment can take the form of topical antibiotic ear drops, such as oxyfloxacin ear drops. If the infection is severe, even oral cephalosporin antibiotics, etc., are required. There are other special conditions, such as frostbite of the auricle, that can cause similar itchy and hot sensations in the ear.