Fungus ball (FB) of the paranasal sinuses has a distinctive clinicopathological presentation. The disease occurs more frequently in elderly patients and has a female preponderance. Classically, it involves only one paranasal sinus in more than 90% of the cases, most commonly the maxillary sinus. Imaging characteristics (calcifications and / or erosion of the inner wall of the sinus visible on CT) and histopathological ones (luminal aggregation of fungal hyphae) confirm the diagnosis. Allergic fungal rhinosinusitis (AFRS) usually occurs in younger, immunocompetent patients, with a history of atopy, including allergic rhinitis and / or asthma, or a long clinical picture of chronic rhinosinusitis (CRS), refractory to antibiotic treatment. Nasal polyps (NP) are present in almost all patients, while extra-sinusal complications are described only in some of them. Usually, there is involvement of several sinuses, as well as bilateral damage. The definitive diagnosis is confirmed only by examining surgical specimens - the characteristic appearance of eosinophilic mucin is the most reliable indicator of AFRS.

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Nowadays, Bezold mastoiditis, as a complication of chronic suppurative otitis media, seldom occurs because of the continuous development of  antibiotics. This paper presents a case of Bezold mastoiditis in a patient who suffered from chronic suppurative otitis media, as a result of a trauma during an explosion.

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The authors present a case of chronic polyposis otitis media in a 32-year-old patient treated in Clinical Republican Hospital. Computed tomography revealed the presence of an aural polyp which originated from middle ear ossicles. The aural polyp was surgically removed through microdebridation and a type II Wullstein tympanoplasty was performed.