A case of aspergillosis of the maxillary sinus followed by odontogenic sinusitis is reported. The Japanese literature on paranasal fungus infection was reviewed and discussed. In Japan, aspergillosis is the most frequently occurring of all paranasal fungus infections, but paranasal aspergillosis followed by odontogenic sinusitis is relatively rare. Most cases of odontogenic paranasal aspergillosis are of the non-invasive type.