Dandruff-like flakes in or around the ear are often caused by seborrhoeic dermatitis, dry skin, eczema, or sometimes a mild fungal infection. Ketoconazole cream may help if the flakes are mainly on the outer part of the ear and related to dandruff or fungal overgrowth. However, it should be applied carefully only to the outer ear skin, not deep inside the ear canal, unless specifically advised by a doctor. Medicated ear drops are usually not needed unless there is pain, discharge, blockage, swelling, hearing reduction, or signs of infection inside the ear canal. Using the wrong ear drops without examination may sometimes irritate the ear further or cause complications if the eardrum is damaged. Avoid inserting earbuds, pins, or other objects into the ear, as this can worsen irritation and dryness. Keeping the area clean and dry and treating scalp dandruff may also help reduce ear flaking. If the problem keeps returning, spreads, causes itching or pain, or affects hearing, you should consult an ENT doctor or dermatologist. The doctor can properly examine the ear and decide whether antifungal treatment, a steroid lotion, or other medicines are needed.