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BiographyKate qualified as a Physiotherapist (Bsc Hons) from St Georges University London in 2010. She has over 11 years experience working in large London hospitals initially gaining experience in all core physiotherapy settings before specialising in the management of neurological and vestibular conditions for thelast 7 years.
She currently works at St George’s University Hospitals NHS Foundation Trust as a Highly Specialised Neuro Physiotherapist with a special interest in rehabilitation of neurological conditions. She is a vestibular and balance specialist, is a member of special interest groups and actively involved in research.
Kate has extensive experience in neurology, neuro and vestibular outpatient physiotherapy, neurosurgery and neuro-oncology and has completed courses in vestibular rehabilitation, specialist spasticity management and Bobath training.
Dr. R Palaniappan MBBS, MS, DLO, FRCS, MSc, FRCP
Consultant in Audio-vestibular Medicine/ Hon. Sr. LecturerRoyal National Throat Nose and Ear Hospital/ UCLH NHS Foundation Trust330 Grays Inn RoadLONDON, WC1X 8DAUnited Kingdom.GMC Full Registration with license to practice 4178004
Dr. Rudrapathy Palaniappan is a Consultant Physician in Audiovestibular Medicine with subspecialty interest in neuro-otology. His specialist field involves medical investigation and management of patients with tinnitus, hearing loss, and balance disorders. Dr Palaniappan is a Fellow of the Royal College of Surgeons of Edinburgh with a specialist qualification (FRCS) in ENT surgery. He holds a post-graduate diploma (DLO) in ENT surgery from the Royal College of Surgeons of England and MSc degree in Audiological Medicine from University College London. He has been made a Fellow of the Royal College of Physicians of London in the year 2013. I have nearly 30 years’ experience in managing patients with tinnitus, hearing loss, and balance problems.
Dr Palaniappan works as a part-time Consultant Physician in the adult Audiovestibular medicine & Neuro-otology department at the Royal National ENT & Eastman Dental Hospital, which is part of UCLH NHS Foundation Trust. He currently does one neuro-otology clinic and one audiological rehabilitation clinic per week as well as a special hearing clinic for thalassaemia sufferers. He is actively involved in teaching BSc/ MSc students in ENT/audiological science courses at UCL Ear Institute and medical students. He is a clinical supervisor and train specialist registrars in Audiovestibular Medicine.
Dr Palaniappan was an expert member in the NICE (National Institute of Clinical Excellence) committee on hearing loss and contributed to the development of clinical pathway. He has completed two terms as Audiovestibular Medicine Training Programme Director (TPD) for Health Education England, when he also chaired the Specialist Training Committee (STC). He was a member of the SAC (Specialist Advisory Committee) for Audiovestibular Medicine at the Royal College of Physicians and actively contributed to writing knowledge based questions and answers for the specialist training programme.
MEDICAL QUALIFICATIONSFRCP RCP London June 2013Certificate of Completion of Specialist Training Audiological Medicine March 1999MSc (Audiological Medicine) University College London November 1997FRCS (Otolaryngology) RCS Edinburgh March 1995DLO RCS England October 1991PLAB Examination GMC London January 1990MS (Otolaryngology) Madras University March 1986DLO Madras University April 1985MBBS Madras University March 1983
PRESENT POST1 Jan.2002 – till dateSENIOR CONSULTANTDepartment of Audiovestibular Medicine/ Neuro-otologyRoyal National ENT & Eastman Dental HospitalLondon, United Kingdom.
MEMBER OF LEARNED SOCIETIESMember of the Royal College of PhysiciansFellow of the Royal College of Surgeons of EdinburghBritish Association of Audiovestibular Physicians (ex-member of BAAP publicity committee, representative to UK council on deafness)British Medical AssociationUniversity of London ConvocationCHAIN memberNeuro-otological and Equilibriometric Society (NES), Bad Kissingen, GermanyIndian Medical AssociationAssociation of Otolaryngologists of IndiaAssociation of Paediatric Otolaryngologists of India
PUBLICATIONS/ ACADEMIC ACTIVITIESTinnitus/dtb-BMJ group, article reviewed and comments made. Nov 2012.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; 13Nandi 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. “Peripheral vestibular dysfunction in ME syndrome”, Electronic Publication – abstract in the BAAP web site.Palaniappan R, Jayarajan V. “Patient Information Leaflets (PILs) – Do people read them?” a preliminary report, Electronic Publication – abstract in the BAAP web site.Palaniappan R, Jayarajan V. “Neuro-otological manifestations of Multiple Myeloma”, Electronic Publication – abstract in the BAAP web site.Palaniappan R, Reddy KS. Solitary Bony Metastasis in a case of Carcinoma of the Laryngopharynx. Indian Journal of Otolaryngology 1987; 39/3: 130-31.
TEACHINGDr Palaniappan teaches regularly in various audiovestibular courses at the Ear Institute. I lectured in the 1st Qatar International Conference on Vestibular Assessment and Rehabilitation in DOHA between the 6th and 8thJanuary 2012. I supervise MSc student projects as required, at regular intervals.
RESEARCH INTERESTi. Balance Disordersii. Autoimmune ear disease
Anita WongLead Audiologist
BiographyAnita is our lead Audiologist and is an expert in the field of Audiovestibular Testing with both children and adults with hearing and balance disorders. She is also Deputy Lead and Senior Audiologist at Great Ormond Street Hospital in London.
Anita qualified from the University of Manchester in 2009 and has over 10 years’ experience in Audiology. She has sound knowledge on various diagnostic assessments and rehabilitation. She has experience fitting a range of hearing aids and bone anchored implantable devices.
Anita has been invited to deliver lectures at various prestigious national and international courses, and regularly trains and teaches the next generation of audiologists.
Anita is an integral part of the team at Harley Street Audiovestibular Clinic, working closely together with Audiovestibular Medicine Doctors to provide the highest quality care to our patients and striving to ensure the best quality standards.
David Scott PhD, DClinPsy, CPsychol
BiographyDavid is a Chartered Psychologist and offers tinnitus therapy remotely. He is registered with the Health and Care Professions Council as a Practitioner Psychologist. He has worked in a range of health services for the past 25 years. He specialises in psychological management of tinnitus and sleep disorders.He also has an interest in misophonia. David has co-authored several articles and book chapters on the management of tinnitus.
Preeti PatelOperations Manager
BiographyPreeti is Operations Manager for Harley Street Audiovestibular Clinic. She has over 20 years of experience in the NHS with sound knowledge and qualifications for management within the healthcare setting.
Preeti manages every aspect of the day-to-day running of the clinic from co-ordinating clinical activities with our physicians & audiologists, scheduling patient appointments, building brand awareness, managing the logistical needs of the clinic to establishing key relationships with external health care organisations. She is also, the friendly voice you hear when contacting us.
She is the key co-ordinator in ensuring that your patient journey is as pleasant, smooth and efficient as possible, striving along the rest of the team to provide the highest quality of care for all our patients.
Dr Arun Pajaniappane MBBS, BSc (Hons), MRCS, DOHNS, MSc (merit)
Consultant Physician in Audiovestibular Medicine
Honorary Secretary British Association of Audiovestibular Physicians (BAAP)
Chairperson of BAAP Publicity and Website Committee
Dr Arun (as he is known to his patients) is our practice manager and a medical consultant at St George’s University Hospitals in Tooting, one of the UK’s largest Audiovestibular medicine units. With a specialist interest in dizziness & vertigo and this being his main workload, and he has gained huge experience having helped hundreds of patients. He also sees patients with hearing loss & tinnitus for medical investigations and advising on management.
Aside clinical medicine, Dr Pajaniappane proudly serves as Honorary Secretary to the British Association of Audiovestibular Physicians, and is coming to the end of his term as Chairperson of the Publicity Committee. He is a big advocate for patients with audio-vestibular disorders and has been passionate about raising awareness of the poorly know speciality of Audiovestibular Medicine to long suffering patients.
Dr Pajaniappane has an active passion and interest in audiovestibular research, particularly Vestibular Migraine and PPPD. His work has been presented at various national and international forums. He has also been an invited author to write chapters in high profile books including on Auditory Neuropathy Spectrum Disorder (ANSD).
Following qualification from the Royal Free & University College London Medical School (BSc and MBBS), Dr Pajaniappane trained in General Medicine and Surgery prior to specialist training in ENT surgery (otolaryngology), and successfully obtaining relevant qualifications (MRCS & DOHNS). Due to his interest in the human balance system and space travel, he then switched training to Audiovestibular Medicine, after also taking a year out to study his Master’s degree which was obtained with Merit.
Dr Pajaniappane has been working as a Consultant in Audiovestibular Medicine at St George’s hospital for the past few years. He has been establishing the research and academic credentials of the department and has recently been awarded research funding as part of an innovative, high profile, national multi-centre trial.
Dr Pajaniappane enjoys treating both children and adults.