We have described a benign osteoblastic lesion in the middle ear in a 13‐year‐old boy who presented with a gradual hearing loss in the right ear. The patient also described a beating or pulsating sensation in the right ear without other symptoms. The examination of the right ear revealed a mass lesion which occupied the medial portion of the canal and seemed to be arising from and in continuity with the posterior inferior wall of the external canal. The benign osteoblastoma rarely has malignant characteristics. Based on the experience of others, partial removal of the lesion was carried out by curettage preserving the integrity of the middle ear space and facial nerve. This is probably the first case report of such a lesion involving the temporal bone in the middle ear and we found it to be a most interesting and thought provoking lesion both by virtue of its presentation and management.

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scope. All were noted to have various degrees of a nasopharyngeal candidiasis involving the turbinates, septum, and nasopharynx. Two had septal perforations with partial destruction of the soft palate and uvula. The patients were treated with lidocaine solution to the nose and instructed to abstain from further snorting. They were placed on Diflucan 100 mg daily. One patient underwent FESS with debridement and cleansing of the fungal growth. Sparing of the paranasal sinuses were noted on CT examinations. Conclusion: Two patients actually stopped abusing the Tylox, and the candidiasis resolved. The nasal passages became patent, and the raw areas remucosalized. They are both nasal cripples with atrophic rhinitis but are drug free.

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