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Updated: May 10, 2026

Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
Sialodochoplasty with ductal size reduction for Stensen's megaduct
Carlos Miguel Chiesa-Estomba1,2,3, Meritxell Clari-Comes4, Carlos Saga-Gutierrez4
1Department of Otorhinolaryngology, Donostia University Hospital, Biodonostia Research Institute, Osakidetza, San Sebastian, 20014, Spain. chiesaestomba86@gmail.com.
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.

