Sialodochoplasty with ductal size reduction for Stensen's megaduct.

Background: Stensen's megaduct secondary to distal stenosis presents recurrent swelling and requires surgical management when minimally invasive approaches fail.

Method: We described a novel technique, based in the use of a combined sialodochoplasty, incorporating duct size reduction with hemoclips.

Conclusion: This approach could be considered an effective technique that resolves symptoms, minimizes recurrence, and preserves gland function improving the cosmetic results.