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Gheller F, Brotto D, Sorrentino F, Lovo E, Trevisi P, Bovo R, Tripodi S, Pegoraro E. AUDITORY DYSFUNCTION IN FACIOSCAPULOHUMERAL MUSCULAR DYSTROPHY TYPE 1: BEYOND THE INNER EAR INVOLVEMENT. Otol Neurotol 2022; 43:e391-e392. [PMID: 34772888 DOI: 10.1097/mao.0000000000003422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Flavia Gheller
- Human Inspired Technology Research Centre (HIT), University of Padova, Padova, Italy
| | - Davide Brotto
- Section of Otorhinolaryngology-Head and Neck Surgery, Department of Neurosciences, University of Padova, Padova, Italy
| | - Flavia Sorrentino
- Section of Otorhinolaryngology-Head and Neck Surgery, Department of Neurosciences, University of Padova, Padova, Italy
| | - Elisa Lovo
- Section of Otorhinolaryngology-Head and Neck Surgery, Department of Neurosciences, University of Padova, Padova, Italy
| | - Patrizia Trevisi
- Section of Otorhinolaryngology-Head and Neck Surgery, Department of Neurosciences, University of Padova, Padova, Italy
| | - Roberto Bovo
- Section of Otorhinolaryngology-Head and Neck Surgery, Department of Neurosciences, University of Padova, Padova, Italy
| | - Silvia Tripodi
- European Reference Netowrk Muscular Unit, Department of Neurosciences, University of Padova, Italy
| | - Elena Pegoraro
- European Reference Netowrk Muscular Unit, Department of Neurosciences, University of Padova, Italy
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Mancini P, Mariani L, Nicastri M, Cavicchiolo S, Giallini I, Scimemi P, Zanetti D, Montino S, Lovo E, Di Berardino F, Trevisi P, Santarelli R. Cochlear implantation in children with Autism Spectrum Disorder (ASD): Outcomes and implant fitting characteristics. Int J Pediatr Otorhinolaryngol 2021; 149:110876. [PMID: 34385039 DOI: 10.1016/j.ijporl.2021.110876] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/13/2021] [Revised: 07/19/2021] [Accepted: 08/05/2021] [Indexed: 11/18/2022]
Abstract
BACKGROUND Little is known regarding fitting parameters and receptive and expressive language development in cochlear-implanted children (CCI) with profound sensorineural hearing loss (SHL) who are diagnosed with Autism Spectrum Disorder (ASD). The aim of the study was to evaluate a group of ASD CCI users in order to describe their ASD clinical features and CCI outcomes; report on the average electrical charge requirements; and evaluate the possible correlations between electrical and psychophysical outcomes with ASD characteristics. MATERIALS AND METHODS A multicentre observational study of 22 ASD children implanted in four cochlear implant (CI) centers. Data concerning profound SHL diagnosis, ASD diagnosis, CI timing and CI compliance were collected. Sound Field (SF) was assessed through repeated behavioural measurements. Categories of Auditory Perception (CAP) and Categories of Language (CL) were used to evaluate speech perception and language skills at short (≤2 yrs), medium (5 yrs) and long term (>10 yrs) follow-up. Fitting parameters such as comfortable thresholds, pulse-width (pw, μsec) and clinical units converted into units of charge/phase were collected. The diagnosis of ASD was acquired by the referral neuropsychiatric department and severity was assessed through the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) and the Childhood Autism Rating Scale (CARS). RESULTS At the final follow-up session the median SF threshold for CI outcomes was 30 dB HL (min 15 - max 60). CAP score was extremely variable: 45.5% showed no improvement over time and only 22% of children reached CAP scores of 5-7. CL 45.5% showed no improvement over time and score was 1-2 in the majority of ASD children (72.7%), while only 18.2% reached the highest level of language skills. There were no statistically significant differences at each follow-up between subjects with or without comorbidities. CAP and CL were inversely correlated with DSM-V A and B domains, corresponding to lower speech and language scores in children with more severe ASD symptoms, and maintained their correlation at mid and long follow-ups whilst controlling for age at CI. Electrical charge requirements did not correlate with SF or age at implant but did inversely correlate with ASD severity. With regards to CI compliance: only 13.6% children (3) with severe DSM-V A/B levels and CARS score were partial/intermittent users. CONCLUSION The present study is a targeted contribution to the current literature to support clinical procedures for CI fitting and audiological follow-up in children with ASD. The findings indicate that the outcomes of CI use and the fitting procedures are both influenced by the severity of the ASD symptoms rather than the demographic variables or associated disorders.
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Affiliation(s)
| | - Laura Mariani
- Department of Sense Organs, University Sapienza of Rome, Italy.
| | - Maria Nicastri
- Department of Sense Organs, University Sapienza of Rome, Italy
| | - Sara Cavicchiolo
- Audiology Unit, Department of Clinical Sciences and Community Health, University of Milan, Italy
| | - Ilaria Giallini
- Department of Sense Organs, University Sapienza of Rome, Italy
| | - Pietro Scimemi
- Department of Neuroscience, University of Padua, Padua - UOSD Otolaryngology and Audiology, Santi Giovanni e Paolo Hospital, Venice, Italy
| | - Diego Zanetti
- Department of Specialistic Surgical Sciences, Foundation IRCCS Ca' Granda Maggiore Hospital, Milan, Italy
| | - Silvia Montino
- Department of Neuroscience, University of Padua, UOC Otolaryngology, Padua Hospital, Italy
| | - Elisa Lovo
- Department of Neuroscience, University of Padua, UOC Otolaryngology, Padua Hospital, Italy
| | - Federica Di Berardino
- Department of Specialistic Surgical Sciences, Foundation IRCCS Ca' Granda Maggiore Hospital, Milan, Italy
| | - Patrizia Trevisi
- Department of Neuroscience, University of Padua, UOC Otolaryngology, Padua Hospital, Italy
| | - Rosamaria Santarelli
- Department of Neuroscience, University of Padua, Padua - UOSD Otolaryngology and Audiology, Santi Giovanni e Paolo Hospital, Venice, Italy
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Brotto D, Manara R, Scimemi P, Sorrentino F, Montino S, Maritan F, Caserta E, Lovo E, Martini A, Santarelli R, Trevisi P. An audiological perspective on ''Two further patients with Warsaw breakage syndrome. Is a mild phenotype possible?". Mol Genet Genomic Med 2020; 8:e1283. [PMID: 32500959 PMCID: PMC7507339 DOI: 10.1002/mgg3.1283] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2019] [Accepted: 03/26/2020] [Indexed: 01/08/2023] Open
Affiliation(s)
- Davide Brotto
- Neurosciences Department, University of Padova, Padova, Italy.,ENT Unit, Azienda Ospedaliera Università di Padova, Padova, Italy
| | - Renzo Manara
- Neuroradiology, Neurosciences Department, University of Padova, Padova, Italy
| | - Pietro Scimemi
- Neurosciences Department, University of Padova, Padova, Italy.,Audiology Service, Ospedale Santi Giovanni e Paolo, Venezia, Italy
| | - Flavia Sorrentino
- Neurosciences Department, University of Padova, Padova, Italy.,ENT Unit, Azienda Ospedaliera Università di Padova, Padova, Italy
| | - Silvia Montino
- Neurosciences Department, University of Padova, Padova, Italy.,ENT Unit, Azienda Ospedaliera Università di Padova, Padova, Italy
| | - Francesca Maritan
- Neurosciences Department, University of Padova, Padova, Italy.,ENT Unit, Azienda Ospedaliera Università di Padova, Padova, Italy
| | - Ezio Caserta
- Neurosciences Department, University of Padova, Padova, Italy.,ENT Unit, Azienda Ospedaliera Università di Padova, Padova, Italy
| | - Elisa Lovo
- Neurosciences Department, University of Padova, Padova, Italy.,ENT Unit, Azienda Ospedaliera Università di Padova, Padova, Italy
| | - Alessandro Martini
- Neurosciences Department, University of Padova, Padova, Italy.,ENT Unit, Azienda Ospedaliera Università di Padova, Padova, Italy
| | - Rosamaria Santarelli
- Neurosciences Department, University of Padova, Padova, Italy.,Audiology Service, Ospedale Santi Giovanni e Paolo, Venezia, Italy
| | - Patrizia Trevisi
- Neurosciences Department, University of Padova, Padova, Italy.,ENT Unit, Azienda Ospedaliera Università di Padova, Padova, Italy
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Castiglione A, Casa M, Gallo S, Sorrentino F, Dhima S, Cilia D, Lovo E, Gambin M, Previato M, Colombo S, Caserta E, Gheller F, Giacomelli C, Montino S, Limongi F, Brotto D, Gabelli C, Trevisi P, Bovo R, Martini A. Correspondence Between Cognitive and Audiological Evaluations Among the Elderly: A Preliminary Report of an Audiological Screening Model of Subjects at Risk of Cognitive Decline With Slight to Moderate Hearing Loss. Front Neurosci 2019; 13:1279. [PMID: 31920475 PMCID: PMC6915032 DOI: 10.3389/fnins.2019.01279] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2018] [Accepted: 11/11/2019] [Indexed: 11/25/2022] Open
Abstract
Epidemiological studies show increasing prevalence rates of cognitive decline and hearing loss with age, particularly after the age of 65 years. These conditions are reported to be associated, although conclusive evidence of causality and implications is lacking. Nevertheless, audiological and cognitive assessment among elderly people is a key target for comprehensive and multidisciplinary evaluation of the subject’s frailty status. To evaluate the use of tools for identifying older adults at risk of hearing loss and cognitive decline and to compare skills and abilities in terms of hearing and cognitive performances between older adults and young subjects, we performed a prospective cross-sectional study using supraliminal auditory tests. The relationship between cognitive assessment results and audiometric results was investigated, and reference ranges for different ages or stages of disease were determined. Patients older than 65 years with different degrees of hearing function were enrolled. Each subject underwent an extensive audiological assessment, including tonal and speech audiometry, Italian Matrix Sentence Test, and speech audiometry with logatomes in quiet. Cognitive function was screened and then verified by experienced clinicians using the Montreal Cognitive Assessment Score, the Geriatric Depression Scale, and further investigations in some. One hundred twenty-three subjects were finally enrolled during 2016–2019: 103 were >65 years of age and 20 were younger participants (as controls). Cognitive functions showed a correlation with the audiological results in post-lingual hearing-impaired patients, in particular in those affected by slight to moderate hearing loss and aged more than 70 years. Audiological testing can thus be useful in clinical assessment and identification of patients at risk of cognitive impairment. The study was limited by its sample size (CI 95%; CL 10%), strict dependence on language, and hearing threshold. Further investigations should be conducted to confirm the reported results and to verify similar screening models.
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Affiliation(s)
- Alessandro Castiglione
- Department of Neurosciences, University of Padua, Padua, Italy.,Complex Operative Unit of Otolaryngology, Hospital of Padua, Padua, Italy
| | - Mariella Casa
- Regional Center for the Study and Treatment of the Aging Brain, Department of Internal Medicine, Padua, Italy
| | - Samanta Gallo
- Complex Operative Unit of Otolaryngology, Hospital of Padua, Padua, Italy
| | - Flavia Sorrentino
- Complex Operative Unit of Otolaryngology, Hospital of Padua, Padua, Italy
| | - Sonila Dhima
- Complex Operative Unit of Otolaryngology, Hospital of Padua, Padua, Italy
| | - Dalila Cilia
- Department of Neurosciences, University of Padua, Padua, Italy
| | - Elisa Lovo
- Department of Neurosciences, University of Padua, Padua, Italy
| | - Marta Gambin
- Department of Neurosciences, University of Padua, Padua, Italy
| | - Maela Previato
- Department of Neurosciences, University of Padua, Padua, Italy
| | - Simone Colombo
- Department of Neurosciences, University of Padua, Padua, Italy
| | - Ezio Caserta
- Complex Operative Unit of Otolaryngology, Hospital of Padua, Padua, Italy
| | - Flavia Gheller
- Department of Neurosciences, University of Padua, Padua, Italy
| | | | - Silvia Montino
- Department of Neurosciences, University of Padua, Padua, Italy
| | - Federica Limongi
- Institute of Neuroscience, National Research Council, Padua, Italy
| | - Davide Brotto
- Complex Operative Unit of Otolaryngology, Hospital of Padua, Padua, Italy
| | - Carlo Gabelli
- Regional Center for the Study and Treatment of the Aging Brain, Department of Internal Medicine, Padua, Italy
| | - Patrizia Trevisi
- Department of Neurosciences, University of Padua, Padua, Italy.,Complex Operative Unit of Otolaryngology, Hospital of Padua, Padua, Italy
| | - Roberto Bovo
- Department of Neurosciences, University of Padua, Padua, Italy.,Complex Operative Unit of Otolaryngology, Hospital of Padua, Padua, Italy
| | - Alessandro Martini
- Department of Neurosciences, University of Padua, Padua, Italy.,Complex Operative Unit of Otolaryngology, Hospital of Padua, Padua, Italy
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Bovo R, Lovo E, Astolfi L, Montino S, Franchella S, Gallo S, Prodi N, Borsetto D, Trevisi P. Speech perception in noise by young sequential bilingual children. ACTA ACUST UNITED AC 2019; 38:536-543. [PMID: 30623899 PMCID: PMC6325655 DOI: 10.14639/0392-100x-1846] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2017] [Accepted: 01/17/2018] [Indexed: 11/23/2022]
Abstract
The objective of this study was to ascertain the effects of competitive noise on second language perception skills of sequentially bilingual children and to compare the results with those relating to matched monolingual peers. Fifteen bilingual immigrant children (aged 6-10 years) (BL) learning through their second language (L2), which was Italian, were matched with 15 peers who only spoke Italian (IO). All immigrant children had arrived in Italy and were exposed to L2 after their 4th year of life. The speech-to-noise ratio (SNR) needed to obtain 50% intelligibility – the speech reception threshold (SRT) – for Italian words was measured against the Italian version of ICRA noise, using an adaptive method. Moreover, presentation of phrases against a contralateral continuous discourse (informational masking) was carried out to exclude possible biases due to differences in memory, attention, or other central auditory processing disorders between groups. The SNR was -2.7 dB (SD 1.7; range: -5.5 to + 0.9) for the BL group and -5.3 dB (SD 2.3; range: -8.8 to -0.9) for the IO group (p < 0.01). With contralateral continuous discourse presentation the SNR were -32.8 dB (SD 2.4; range: -36.1 to -28.2) for the BL group and -27.8 dB (SD 2.1; range: -31.7 to -24.1) for the OI group (p < 0.01). Even sequential bilingual individuals exposed to L2 at 4 years old had worse speech perception in noise than their matched IO peers. On the other hand, the BL group demonstrated superior divided attention skills in tests with competitive contralateral discourse (p < 0.01).
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Affiliation(s)
- R Bovo
- ENT surgery, Department of Neurosciences, University of Padua, Italy
| | - E Lovo
- ENT surgery, Department of Neurosciences, University of Padua, Italy
| | - L Astolfi
- Bioacoustics Research Laboratory, Department of Neurosciences, University of Padua, Italy
| | - S Montino
- ENT surgery, Department of Neurosciences, University of Padua, Italy
| | - S Franchella
- ENT surgery, Department of Neurosciences, University of Padua, Italy
| | - S Gallo
- ENT surgery, Department of Neurosciences, University of Padua, Italy
| | - N Prodi
- Department of Engineering, University of Ferrara, Italy
| | - D Borsetto
- ENT surgery, Department of Neurosciences, University of Padua, Italy
| | - P Trevisi
- ENT surgery, Department of Neurosciences, University of Padua, Italy
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Brotto D, Avato I, Lovo E, Muraro E, Bovo R, Trevisi P, Martini A, Manara R. Epidemiologic, Imaging, Audiologic, Clinical, Surgical, and Prognostic Issues in Common Cavity Deformity. JAMA Otolaryngol Head Neck Surg 2019; 145:72-78. [DOI: 10.1001/jamaoto.2018.2839] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
- Davide Brotto
- ENT Unit, Neurosciences Department, Università degli Studi di Padova, Padova, Italy
| | - Irene Avato
- Department of Otorhinolaryngology, PhD in Experimental Medicine, University of Pavia, Pavia, Italy
| | - Elisa Lovo
- ENT Unit, Neurosciences Department, Università degli Studi di Padova, Padova, Italy
| | - Eva Muraro
- Department of Surgical, Oncological and Gastroenterological Sciences, University of Padova, Padova, Italy
| | - Roberto Bovo
- ENT Unit, Neurosciences Department, Università degli Studi di Padova, Padova, Italy
| | - Patrizia Trevisi
- ENT Unit, Neurosciences Department, Università degli Studi di Padova, Padova, Italy
| | - Alessandro Martini
- ENT Unit, Neurosciences Department, Università degli Studi di Padova, Padova, Italy
| | - Renzo Manara
- Department of Neuroradiology, University of Salerno, Salerno, Italy
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Brotto D, Manara R, Vio S, Ghiselli S, Cantone E, Mardari R, Toldo I, Stritoni V, Castiglione A, Lovo E, Trevisi P, Bovo R, Martini A. Salivary glands abnormalities in oculo-auriculo-vertebral spectrum. Clin Oral Investig 2017; 22:395-400. [DOI: 10.1007/s00784-017-2125-z] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2016] [Accepted: 05/11/2017] [Indexed: 11/30/2022]
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Brotto D, Manara R, Ghiselli S, Lovo E, Mardari R, Toldo I, Castiglione A, Schifano G, Stritoni V, Bovo R, Trevisi P, Martini A. Erratum to: Oculo-auriculo-vertebral spectrum: going beyond the first and second pharyngeal arch involvement. Neuroradiology 2017; 59:535. [PMID: 28364138 DOI: 10.1007/s00234-017-1833-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- Davide Brotto
- Department of Neurosciences, Otorhinolaryngology Unit, University of Padova, Via Giustiniani 2, 35128, Padova, Italy.
| | - Renzo Manara
- Neuroradiology, Sezione di Neuroscienze, University of Salerno, Salerno, Italy
| | - Sara Ghiselli
- Department of Neurosciences, Otorhinolaryngology Unit, University of Padova, Via Giustiniani 2, 35128, Padova, Italy
| | - Elisa Lovo
- Department of Neurosciences, Otorhinolaryngology Unit, University of Padova, Via Giustiniani 2, 35128, Padova, Italy
| | - Rodica Mardari
- Neuroradiology, University Hospital of Padova, Padova, Italy
| | - Irene Toldo
- Pediatric Neurology Unit, Department of Woman's and Child's Health, University of Padova, Padova, Italy
| | - Alessandro Castiglione
- Department of Neurosciences, Otorhinolaryngology Unit, University of Padova, Via Giustiniani 2, 35128, Padova, Italy
| | - Giovanni Schifano
- Department of Neurosciences, Otorhinolaryngology Unit, University of Padova, Via Giustiniani 2, 35128, Padova, Italy
| | | | - Roberto Bovo
- Department of Neurosciences, Otorhinolaryngology Unit, University of Padova, Via Giustiniani 2, 35128, Padova, Italy
| | - Patrizia Trevisi
- Department of Neurosciences, Otorhinolaryngology Unit, University of Padova, Via Giustiniani 2, 35128, Padova, Italy
| | - Alessandro Martini
- Department of Neurosciences, Otorhinolaryngology Unit, University of Padova, Via Giustiniani 2, 35128, Padova, Italy
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