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Dr Miguel Arístegui Ruiz

Otology, Otoneurology and Otoneurosurgery

Dr Miguel Arístegui Ruiz

Specialist in

  • Vestibular schwannoma (acoustic neuroma) surgery.

  • Complex otological surgery and lateral skull base surgery.

  • Surgery for cochlear implants and other implantable devices.

«In every sound there is an invisible bridge that brings us closer to the world and to one another.»
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Professional profile

A specialist in Otorhinolaryngology with an outstanding clinical and surgical track record in otology, otoneurosurgery and lateral skull base surgery. His practice focuses on the treatment of complex ear conditions and on hearing rehabilitation using advanced surgical techniques.

He approaches medical care from a deeply human perspective, viewing the preservation and restoration of hearing as an essential element for the patient’s independence, communication and quality of life.

Education

He has a solid background in medicine and surgery, complemented by a PhD in Medicine and extensive experience in teaching and training in the field of otology and otoneurological surgery.

1996 | Doctor of Medicine. Complutense University of Madrid. Royal Academy of Medicine Award for the best doctoral thesis.
1993 | Fellowship in Otology, Otoneurosurgery and Skull Base Surgery. Gruppo Otologico, Piacenza, Italy.
1989 | Specialist in Otorhinolaryngology. Red Cross Central Hospital, Madrid.
1983 | Bachelor of Medicine and Surgery. Complutense University of Madrid.

Professional experience

He has built his career within the public hospital sector, progressively taking on responsibilities in patient care, surgery and clinical leadership.

2017 – Present | Head of the Department of Otorhinolaryngology. Gregorio Marañón University General Hospital. Madrid.
2015 – 2017 | Head of the Otorhinolaryngology Department. Gregorio Marañón University General Hospital. Madrid.
2008 – 2015 | Head of the Otology Unit. Gregorio Marañón University General Hospital. Madrid.
2004 – 2008 | Head of Otoneurosurgery and Skull Base Surgery. Gregorio Marañón University General Hospital. Madrid.
1994 – 2008 | Coordinator of the Otoneurosurgery and Skull Base Unit. Red Cross Central Hospital. Madrid.
1990 – 1992 | Contracted Assistant. Red Cross Central Hospital. Madrid.
1986 – 1989 | Resident in Otorhinolaryngology. Red Cross Central Hospital. Madrid.
1983 – 1986 | Assistant doctor in the Otorhinolaryngology outpatient clinics. Madrid.

Scientific publications

He is the author and co-author of scientific articles in national and international journals, focusing on complex otological pathology, skull base surgery and advanced surgical techniques. His most recent publications are as follows:

2026 | Decision-Making in Meningoencephalic Herniation in the Temporal Bone: A Report on 95 Cases. Tommaso Mazzocco, Carlos Martin-Oviedo, Monica Rueda, Montserrat Asensi-Diaz, Manuel Gutierrez-Triguero, Ignacio Arístegui, Miguel Arístegui. Acta Otorrinolaring Esp, 2026 (forthcoming).
2025 | The Versatility of the Retrolabyrinthine Approach: Anatomical Study, Indications, and Review of the Literature. Miguel Arístegui, Lluc Montaña, Carlos Martín-Oviedo, Montserrat Asensi, Mónica Rueda, Ignacio Arístegui. J Int Adv Otol 2025, 22(1):1–10 2025 In techniques and procedures: Vestibular schwannoma surgery using different surgical approaches. Advanced lateral skull base surgery. Complex otological pathology; a pioneering subtotal petrosectomy technique in our country. Cochlear implants using conventional and complex techniques Tympanoplasty with and without mastoidectomy using microsurgery and endoscopic surgery. Otosclerosis surgery.
2025 | Rueda Vega M, López Granados C, Arístegui Ruiz M. Petrous bone cholesteatoma: report of 94 cases with a focus on intraoperative endoscopic assistance and a systematic review of the literature. European Archives of Oto-Rhino-Laryngology. May 2025;282(5):2349–2365 doi: 10.1007/s00405-024-09144-4
2025 | Rueda Vega M, Asensi Díaz M, Arístegui Ruiz M. Facial nerve management and hearing preservation in petrous bone cholesteatoma. Otology & Neurotology. 1 October 2025;46(9):1150–1157. doi: 10.1097/MAO.0000000000004592.
2024 | Rueda Vega M, Arístegui Torrano I, Arístegui Ruiz M. Superior semicircular canal dehiscence in relation to the superior petrosal sinus: surgical management and literature review. European Archives of Oto-Rhino-Laryngology. doi.org/10.1007/s00405-024-08682-1

Areas of special focus

His clinical practice focuses primarily on the following conditions:

  • Vestibular schwannoma (acoustic neuroma) and neurofibromatosis type 2.
  • Middle ear surgery: otosclerosis, chronic otitis media and cholesteatoma in complex cases.
  • Hearing rehabilitation using cochlear, bone-conduction and brainstem implants.
  • Disorders of the lateral skull base, including intrapetrosal cholesteatomas and paragangliomas.
  • Surgery for vertigo.

Techniques and procedures

He routinely performs highly complex surgical procedures:

  • Vestibular schwannoma surgery using various surgical approaches.
  • Subtotal petrosectomy for complex otological conditions and implant surgery.
  • Cochlear implants using conventional techniques and subtotal petrosectomy.
  • Tympanoplasty with and without mastoidectomy, using microsurgery and endoscopic surgery.
  • Otosclerosis surgery.

Accreditations and memberships

He has been actively involved in national and international scientific societies, contributing to the development of the speciality and to continuing professional development.

  • Deputy Secretary, Secretary-General and Vice-President of the SEORL.

  • Committee Member, Treasurer, Secretary-General and President of the SEBAC.

  • Founding member and member of the EAONO Education Committee.

  • Member of the European Skull Base Society (ESBS).

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