L'Hospital Ruber Internacional est un hôpital privé accrédité par la JCI à Madrid, en Espagne. Classé parmi les 6 meilleurs hôpitaux d'Espagne par Forbes. Spécialisé en neurochirurgie, orthopédie et cardiologie.
L'Hospital Ruber Internacional est un hôpital privé accrédité par la JCI à Madrid, en Espagne. Classé parmi les 6 meilleurs hôpitaux d'Espagne par Forbes. Spécialisé en neurochirurgie, orthopédie et cardiologie.
Le Dr José Carlos Casqueiro Sánchez est chirurgien ORL à l'hôpital Publio Cordón Memorial de Madrid. Il traite la perte auditive et réalise des chirurgies de l'oreille telles que la tympanoplastie. Le Dr Casqueiro Sánchez exerce dans un établissement accrédité par la JCI, une certification garantissant la sécurité et la qualité des soins hospitaliers. L'hôpital compte plus de 110 médecins dans diverses spécialités.
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Late re-perforation, retraction or cholesteatoma is uncommon, but it can occur, so periodic ear checks are advised.","revision_rate_pct":{"min":5,"max":12,"unit":"percent","qualifier":"Patients needing repeat surgery, mainly for residual or recurrent perforation, within about 1–2 years; graft failure is 3–15%."},"scars":"Transcanal approach leaves no visible scar; postauricular or endaural approaches leave a small, usually well-hidden incision behind or at the ear.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for uncomplicated primary tympanoplasty; staged surgery is reserved for complex cases."},"stages":[{"code":"tympanoplasty_surgery","label":"Tympanoplasty with graft reconstruction of the tympanic membrane","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on day of surgery."}}],"qualifier":"Follow-up checks are routine care, not additional treatment stages."},"success":{"metric":"Graft take rate (intact tympanic membrane)","value":90,"unit":"percent","horizon":"12 months","evidence_status":"limited","population":"Adults and children after primary tympanoplasty or myringoplasty; reported graft take about 82–97%."},"techniques":[{"name":"Underlay (medial) graft tympanoplasty with temporalis fascia or cartilage","suits_whom":"Most common approach for small to large perforations with adequate remnant for support.","recovery":"Similar to standard recovery; packing in the middle ear and healing over weeks."},{"name":"Overlay (lateral) graft tympanoplasty","suits_whom":"Selected anterior or total perforations where the remnant is inadequate.","recovery":"Often somewhat longer epithelial healing."},{"name":"Endoscopic transcanal tympanoplasty","suits_whom":"Selected small to medium perforations with accessible margins.","recovery":"Avoids external incision and may allow quicker comfort."}],"treatment_conditions":["day_case","outpatient"],"treatment_duration_hours":{"min":1,"max":3,"unit":"hours","qualifier":"Operative time for uncomplicated primary tympanoplasty without mastoidectomy."},"initial_assessment_documents":["Recent pure-tone audiogram","Temporal bone CT scan report","Otoscopy or otoendoscopy photos of the eardrum","ENT clinic notes on ear discharge history","Prior ear surgery operative reports"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 2-4 weeks until the postoperative ENT check clears air travel. Later reviews are done locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether the surgeon and the facility use a surgical safety checklist, which can reduce complications","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Do the surgeon and his/her facility use a safety checklist?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"technique_details":{"status":"ok","items":[{"id":"underlay-graft-tympanoplasty","name":"Underlay (medial) graft tympanoplasty with temporalis fascia or cartilage","how_it_works":{"text":"Graft tissue is placed under the eardrum to close the hole","source":{"url":"https://my.clevelandclinic.org/health/articles/21044-tympanoplasty-with-or-without-mastoidectomy-at-home-instructions","host":"my.clevelandclinic.org","quote":"They’ll position the tissue under your entire eardrum or just the hole.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"overlay-graft-tympanoplasty","name":"Overlay (lateral) graft tympanoplasty","how_it_works":{"text":"Graft is placed on top of the remaining eardrum ring","source":{"url":"https://www.entnet.org/resource/cpt-for-ent-tympanoplasty-2/","host":"entnet.org","quote":"The surgeon chooses an appropriate technique for placement of the graft under (underlay or medial graft technique) or on top of the remaining annulus (overlay or lateral graft technique).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"endoscopic-transcanal","name":"Endoscopic transcanal tympanoplasty","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=spain/city=madrid/procedure=timpanoplastika/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}