Hey, Ryan! Yes! I can definitely relate to this. I get flare-ups of redness, pain and dryness whenever my sleeping position has been consistently exerting too much pressure on the outer curve of my ear. I don’t know of any topical treatment (although I’m sure a healthcare provider could recommend something), but what’s worked for me is repositioning in a way that tilts my head differently to relieve the pressure. I know sleep positions can be challenging for us with SMA. I’m not able to lay on my back at all, as my breathing feels too shallow. Sometimes the strap on my cpap mask irritates my ears, too. I’ve been told there are special pillows to accommodate masks for cpap & bipap, but I haven’t looked into it yet. Maybe a different pillow like that could help relieve the pressure? I hope you can find a solution soon for more restful nights!