Professional background

Medical qualifications

  • Certificate of completion of specialist training audiological medicine March 1999
  • MSc (audiological medicine) University College London  November 1997
  • FRCS (otolaryngology) RCS Edinburgh March 1995
  • DLO RCS England  October 1991
  • PLAB Examination  GMC London January 1990
  • MS (Otolaryngology) Madras University  March 1986
  • DLO Madras University April 1985
  • MBBS Madras University March 1983

Having done my MBBS in India I trained  in ENT surgery first.  I obtained the FRCS (otolaryngology) diploma in 1995, and began training in audiovestibular medicine as a senior registrar, because of my long-standing interest in hearing and balance disorders. I have more than 20 years experience in managing patients with dizziness, tinnitus and hearing impairment.

I have had a very broad and well-structured training in diagnostic and rehabilitative audiovestibular medicine, in some of the major teaching hospitals in London. This included training in adult and paediatric audiology, neuro-otology, rehabilitation, developmental disorders of speech and language, glue ear and tinnitus clinics.

Research interests

My area of special interest is neuro-otology including management of tinnitus and balance disorders.


Chan C, Palaniappan R. Middle Ear Myoclonus: A New Technique for Suppression of Spontaneous Clicking Tinnitus. International Tinnitus Journal. 2010; 16(1):51-4.

Ratnayake Sudhira, Pajaniappane A, Palaniappan R. Unusual Presentation of Pulsatile Tinnitus – Case Reports. XVth Anniversary Symposium in Audiological Medicine; September 19-22, 2010; Krakow, Poland.

Kowdley H, Palaniappan R. Enlarged Vestibular Aqueduct – An Important Radiological Marker in Branchio Oto-renal and Pendred's Syndrome (2007); Asian Journal of Ear Nose and Throat (ENT) Vol.10; Issue: 4; 13.

Nandi R, Pajaniappane A, Palaniappan R. Real-time video recording of eye movements-an inexpensive system-Short Communication, The Journal of Laryngology & Otology, 1of 2; 2007

Palaniappan R, Balance disorders in adults - Chapter15, Topics on Otorhinolaryngology Head and Neck Surgery, Andrew Swift (Ed); Quay Books, A division of MA Health Care Books (2006); pages 142-150.

Dizziness and Tinnitus care pathways for “Medic to Medic” programme, available on the Royal Free Hampstead NHS Trust (Free-net) website.

Palaniappan R. How to differentiate problematic dizziness; Pulse Clinical, December 2003: 44-47.Palaniappan R, Griggs A. Helping patients cope with tinnitus; Pulse Clinical, July 2003: 40-43.

Palaniappan R. Balance disorders in adults-an overview; Hospital Medicine, May 2002; 63/5: 278-81.

Palaniappan R, Sirimanna T. Peripheral vestibular dysfunction in Chronic Fatigue Syndrome; International Journal of Paediatric Otorhinolaryngology; 64 (2002) 69-72.

Palaniappan R. The role of Audiological Physician in the Modern National Health Service (NHS); ENT News Nov/Dec 01; 10/5:61-62.

Palaniappan R, Snashall S, Woodcock J. Bilateral profound sensorineural hearing loss following pneumococcal meningitis in sickle cell disease-case report; CME Bulletin - Otorhinolaryngology Head & Neck Surgery.

Palaniappan R. Letter to the Editor ‘ENT News’ 1999; 8/3: 45.

Jayarajan V, Palaniappan R. Hearing Impairment - An unusual presentation of cerebral atrophy. CME Bulletin - Otorhinolaryngology Head & Neck Surgery 1998; 2/2: 67-68.

Palaniappan R, Reddy KS. Solitary Bony Metastasis in a case of Carcinoma of the Laryngopharynx. Indian Journal of Otolaryngology 1987; 39/3: 130-31.