Abstract
Salivary megaduct with stricture is characterized by recurrent pain, cheek and parotid swelling. We report on a case of circular web type fibrotic stenosis accompanying a large megaduct found by sialendoscopy. Although, sialendoscopy enabled minimally invasive diagnosis and treatment of stenotic lesion of the Stensen’s duct, bougination is not effective for severe fibrotic stenosis. Transoral sialodochoplasty assisted with sialendoscopy can be an additional treatment option for the parotid duct stenosis with a memegaduct. Sialendoscopy assisted stent insertion can be helpful to prevent the scaring of neo opening and recurrence.
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