Swollen lymph nodes behind the ear

Symptoms, causes and treatments of swollen lymph nodes behind the ear

Swollen lymph nodes behind the ear can be a sign of an underlying infection or immune response. These small, bean-shaped glands play a crucial role in filtering harmful substances and fighting infections. In this article, we will explore the symptoms, when to seek medical attention, and potential treatments.

Lymph nodes behind the ear: what to know

Lymph nodes behind the ear, known as posterior auricular lymph nodes, are an essential part of the immune system. They help filter lymphatic fluid, trapping harmful substances like bacteria and viruses to prevent infections from spreading. These nodes can become swollen due to various causes, including infections, skin conditions, autoimmune disorders, or, in rare cases, more serious illnesses like lymphoma. While mild swelling is often harmless and resolves on its own, persistent or painful enlargement may indicate an underlying issue that requires medical attention. Recognizing the symptoms and knowing when to seek medical advice can help ensure proper treatment and overall well-being.

Where are the lymph nodes behind ear located?

The lymph nodes behind the ear are located just behind the mastoid bone, which is the bony area behind the ear. These small, bean-shaped glands are part of the lymphatic system and typically sit in a line along the base of the skull, near where the ear meets the scalp.

Audiologist with a patient in an Amplifon clinic.

Reach out to us for a free hearing test

If you'd like to meet an audiologist at one of our clinics, simply request an appointment.

Swelling of posterior auricular lymph nodes

Swelling of the posterior auricular lymph nodes typically occurs when these lymph nodes become enlarged due to an infection or other underlying conditions. The lymph nodes can swell as they work to filter out harmful substances, such as bacteria, viruses, or toxins, from the lymphatic fluid.

What causes a swollen lymph node behind the ear?

A swollen lymph node behind the ear can be caused by various factors, most commonly infections, inflammation, or, in rare cases, more serious conditions. Some common causes include:

  • Infections: The most common cause of swelling is an infection near the ear or head area. This can include ear infections (otitis media or external), upper respiratory infections (like a cold or flu), scalp infections (like dandruff, seborrheic dermatitis, or fungal infections such as ringworm) and throat infections (such as strep throat or tonsillitis). 
  • Skin conditions: Inflammatory conditions like acne or cysts on the scalp or skin behind the ear can also cause the lymph nodes to swell as they respond to irritation or infection.
  • Dental issues: Sometimes, infections in the teeth or gums can lead to swollen lymph nodes behind the ear, as the lymphatic system drains from the mouth and neck area.
  • Viral infections: Certain viral infections, such as mononucleosis or measles, may cause general lymph node enlargement, including behind the ears.
  • Autoimmune diseases: Conditions like lupus or rheumatoid arthritis can lead to inflammation in the body that causes lymph nodes to swell.
Amplifon Audiologist talking with her clients

Amplifon in Canada

With a national network of over 130 hearing care clinics in Canada, Amplifon clinics are never far away.

Posterior auricular lymph nodes swollen on one side

Swelling of the posterior auricular lymph node on one side of the body is typically a response to an infection, inflammation, or other localized issues affecting the area near the ear. Since these lymph nodes are responsible for filtering lymphatic fluid from the ear, scalp, and surrounding areas, swelling on one side may indicate a problem in that specific region. Viral infections such as mononucleosis or mumps can also cause one-sided swelling. Additionally, injuries, irritations, or conditions like cysts, abscesses, or throat and sinus infections may lead to swelling in the lymph node behind the ear. In most cases, the swelling is a response to an infection or irritation in the nearby areas.

Swollen lymph node behind left ear

A swollen lymph node behind the left ear is usually a sign that your immune system is responding to an infection or inflammation in the area. Common causes include viral infections like the cold, flu, or mononucleosis, as well as bacterial infections such as ear infections, strep throat, or scalp infections. Skin conditions like seborrheic dermatitis, eczema, or psoriasis can also contribute to swelling. In some cases, autoimmune diseases like lupus or rheumatoid arthritis may be involved.

Swollen lymph node behind right ear

A swollen lymph node behind the right ear is often a sign that your body is fighting an infection. Lymph nodes help filter out harmful substances and become enlarged when responding to infections like colds, ear infections, sinus infections, or scalp conditions. The swelling is usually soft, tender, and movable, and it may shrink once the infection resolves. If the lump is painless, hard, or persists for weeks, it’s important to see a doctor to rule out other causes, such as chronic inflammation or, in rare cases, more serious conditions.

In-the-ear hearing aid
Discover the hearing aid types

We bring you the most sophisticated technology across a range of hearing aid types with price options to fit your budget. After conducting a hearing test, our hearing care professionals are able to guide you with relevant & timely advice. 

Look at the different types

Painful swollen lymph nodes behind the ear

When the lymph nodes behind the ear become swollen and painful, it usually indicates that the body is fighting an infection or inflammation. Pain often occurs as a result of the lymph nodes being overwhelmed by bacteria, viruses, or other harmful agents. Common causes of swollen, painful lymph nodes behind the ear include ear infections (either outer or middle ear infections), scalp conditions like dandruff or folliculitis, and dental infections such as abscessed teeth or gum infections.

Pain can also occur with viral infections like the flu, mononucleosis, or mumps, or even with conditions like sinus infections or tonsillitis. In some cases, localized injuries, insect bites, or cysts near the ear can cause swelling and discomfort. If the pain is persistent, severe, or accompanied by other symptoms like fever, night sweats, or unexplained weight loss, it’s important to seek medical attention to rule out more serious conditions.

Swollen lymph nodes behind the ear in infants

Swollen lymph nodes behind the ear in infants are relatively common and usually a sign that the body is responding to an infection or irritation. The lymph nodes in this area are part of the immune system and help protect the body from harmful bacteria, viruses, or other foreign substances. In infants, the most common causes of swollen lymph nodes behind the ear include ear infections (such as otitis media or otitis externa), viral infections like colds or respiratory infections, and scalp infections like cradle cap or seborrheic dermatitis. Sometimes, dental issues or upper respiratory infections, like the flu or a sore throat, can also lead to swelling of these lymph nodes.

Although most cases of swollen lymph nodes in infants are not serious and resolve once the infection clears up, it’s important to monitor for other signs such as fever, irritability, or difficulty feeding. If the swollen lymph nodes persist for more than two weeks, are particularly large, or are accompanied by concerning symptoms, a pediatrician should be consulted for a thorough evaluation and appropriate treatment.

Hearing test for children

When you see that your child is not reacting to auditory stimulus, it’s best to sign up or a hearing test for children. 

Learn more
A kid has his hearing checked by a hearing professional

Swollen lymph nodes behind the ear in adults

Swollen lymph nodes behind the ear in adults and children can have similar causes, but there are some differences in how they present and what they might indicate. In adults, swollen lymph nodes are often due to infections, inflammation, or, in rare cases, more serious conditions like lymphoma or metastatic cancer. Adults may also experience swollen nodes due to chronic conditions such as autoimmune diseases or long-term infections. The swelling in adults tends to persist longer if caused by non-infectious factors, and doctors may investigate further if the lymph node remains enlarged for several weeks.

Overall, while the causes of swollen lymph nodes in both adults and children overlap, they are more often benign and infection-related in children, whereas in adults, persistent or unusual swelling may require further investigation to rule out underlying conditions beyond simple infections.

Get support and advice

Request a complimentary hearing test

Request now

Test your hearing online

Take the test

Find your nearest hearing clinic

Find a clinic