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You mentioned fleas, did they check for ear mites?
My cat did this for almost two years, sounds the EXACT same!! The mites were way deep in there I guess and the vet missed them for the longest time. We tried everything, I had been cleaning her ears with wipes one day and saw a little tiny moving dot. Called the vet like “I think there’s a bug in her ear?!?” and they gave me some ear drops, few weeks later they were gone and she hasn’t once scratched herself bloody ever since.