A paper-like layer of dead skin on the ears may be due to dry weather, or overly dry skin. Patients who do not experience significant redness, swelling, itching or other symptoms generally do not need special treatment and can be relieved by applying a moisturizing lotion such as Vaseline or vitamin E lotion in moderation. If symptoms persist without improvement, it may also be caused by a lack of vitamins in the patient’s body or by a localized lesion in the ear. Common causes and treatments 1. Vitamin deficiency: Vitamins are one of the most important nutrients in the body, and a lack of vitamins in the body can lead to a range of conditions. When the lesion involves the ear, it can cause local cell dehydration, which can lead to the formation of a layer of paper-like dry skin. Most patients may also suffer from rough and itchy skin on the ear, as well as loss of appetite, muscle aches and weakness. Vitamin-rich fruits and vegetables can be supplemented in appropriate amounts to relieve symptoms, such as carrots, nori, eggplant, tomatoes, oranges, dates, kiwis, etc. If necessary, vitamin C tablets and vitamin B tablets can be taken orally directly. 2. Allergy: When the ear or nearby parts of allergic patients come into contact with allergens, an allergic reaction may be caused. The pre-symptoms of allergic reactions are relatively obvious, and commonly include local skin congestion, edema, eczema, etc. Later on, the skin lesion area gradually heals, and a paper-like dead skin may appear after crusting. In addition, for patients with localized redness and swelling, erythromycin ointment and mupirocin ointment can be used as prescribed to promote the elimination of inflammation. 3. Infection: If a layer of paper-like dead skin appears on the patient’s ear, accompanied by severe itching symptoms, it may be due to local bacterial and fungal infections. It can be treated with topical terbinafine hydrochloride ointment and liragliptin cream as prescribed by the doctor. Most of the dead skin on the ears will fall off on its own over time, so in most cases, it is not recommended that patients tear off the dead skin directly by themselves to avoid wounds or infection of the local lesion area, which may lead to further seriousness of the situation.