Allergic aspergillus sinusitis has recently been increasingly recognized. Five cases are discussed. All presented with proptosis, signs and symptoms of allergic rhinitis and radiological evidence of expansile masses with calcification and bony erosions involving multiple sinuses. Greenish cheesy material was seen at surgery. Histologically the lesions contained eosinophils, Charcot-Lyden crystals and fungal septate hyphae. Aspergillus fumigatus was grown from all cases. Surgical removal with drainage and aeration were performed. The follow-up period ranged between three to 18 months. Recurrence occurred in one patient.Allergic aspergillus sinusitis can mimic malignant disease and should be considered in the differential diagnosis of lesions involving multiple sinuses. It should also be considered in all cases of proptosis.

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While most of the complications of ventilation tubes are widely described in the literature, little is mentioned about postoperative blockage of these tubes. Generally, this blockage is caused by viscid secretion or a blood clot. This study was conducted to assess the effect of using a vasoconstrictor solution to cover the tympanic membrane after ventilation tube insertion to ensure hemostasis in the immediate postoperative period and to decongest the mucosa of the middle ear and the eustachian tube. Xylometazoline hydrochloride (Otrivin Nasal Drops 0.1% or Pediatric Nasal Drops 0.05%) was introduced into 60 ears in 32 patients undergoing myringotomy and ventilation tube insertion. The control group, consisting of 76 ears in 40 patients, underwent only myringotomy and ventilation tube insertion. In a follow-up period of 3 months, postoperative tube obstruction occurred 10.5% of the patients in the control group. No case of blocked tube occurred in the patients who received xylometazoline.