Frontal sinus ablation (Riedel-mosher’s procedure): Indications and role in the endonasal endoscopic era*

Giacomo Pietrobon, Maurizio Bignami, Andrea Preti, Andrea Pistochini, Francesco Bandi, Stefania Gallo, Hajar Bahranifard, Davide Locatelli, Apostolos Karligkiotis, Paolo Castelnuovo

Research output: Contribution to journalArticlepeer-review


Background: The aim of this article is to describe the Riedel-Mosher’s surgical technique and identify its current role in the endoscopic endonasal era based on the experience of a tertiary care medical centre. It also provides a brief excursus on materials available for frontal reconstruction. Methods: A retrospective review of patients submitted to Riedel-Mosher’s procedure from 2005 to 2018 at a single tertiary care centre was carried out. Details of the surgical technique along with data on frontal reconstruction timing and materials used were collected. Results: A total of 21 patients (16 males and 5 females) underwent the Riedel-Mosher’s procedure. The age of the patients ranged from 15 to 84 years. The underlying pathology was represented mainly by chronic osteitis of the frontal bone (17 cases), followed by benign tumours (3 cases) and malignancy (1 case). Perioperative complications occurred in 3 patients. Cranioplasty was carried out only on 16 cases and delayed by an average time of 10 months. Materials for reconstruction included titanium, ceramic, plastic and free flap. Conclusions: Nowadays, Riedel-Mosher’s procedure is still indicated in selected cases of benign and malignant pathologies of the frontal sinus and/or frontal bone. Surgical expertise is key to approach the frontal sinus safely. Its reconstruction requires proper planning and a wide variety of materials to perform it is now available. Correct.

Original languageEnglish
Pages (from-to)293-302
Number of pages10
Issue number4
Publication statusPublished - Jan 1 2019


  • Cranialization
  • Cranioplasty
  • Frontal osteitis
  • Frontal sinus ablation
  • Frontal sinus reconstruction

ASJC Scopus subject areas

  • Otorhinolaryngology


Dive into the research topics of 'Frontal sinus ablation (Riedel-mosher’s procedure): Indications and role in the endonasal endoscopic era*'. Together they form a unique fingerprint.

Cite this