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Baracca G.,Fondazione IRCCS Ca Granda ospedale Maggiore Policlinico | Cantarella G.,Fondazione IRCCS Ca Granda ospedale Maggiore Policlinico | Forti S.,Audiology Unit | Pignataro L.,Fondazione IRCCS Ca Granda ospedale Maggiore Policlinico | And 2 more authors.
European Archives of Oto-Rhino-Laryngology | Year: 2014

Singers constitute a specific population that is particularly sensitive to vocal disability, which may have a higher impact on their quality of life compared to non-singers. A specific questionnaire, the Singing Voice Handicap Index (SVHI), was created and validated aimed to measure the physical, social, emotional and economic impacts of voice problems on the lives of singers. The aim of this study was to validate the Italian version of the SVHI. The validated English version of the SVHI was translated into Italian and then discussed with several voice care professionals. The Italian version of the SVHI was administered to 214 consecutive singers (91 males and 123 females, mean age: 32.62 ± 10.85). Voice problem complaints were expressed by 97 of the singers, while 117 were healthy and had no voice conditions. All subjects underwent a phoniatric consultation with videolaryngostroboscopy to ascertain the condition of the vocal folds. Internal consistency of the Italian version of the SVHI showed a Cronbach's α of 0.97. The test-retest reliability was assessed by comparing the responses obtained by all subjects in two different administrations of the questionnaire; the difference was not significant (p = ns). The SVHI scores in healthy singers was significantly lower than the one obtained in the group of singers with a vocal fold abnormality (29.26 ± 25.72 and 45.62 ± 27.95, p < 0.001, respectively). The Italian version of the SVHI was successfully validated as an instrument with proper internal consistency and reliability. It is a suitable instrument for the self-evaluation of handicaps related to voice problems in the context of singing. © 2013 Springer-Verlag. Source


Cantarella G.,Fondazione IRCCS Ca Granda ospedale Maggiore Policlinico | Viglione S.,Fondazione IRCCS Ca Granda ospedale Maggiore Policlinico | Forti S.,Audiology Unit | Minetti A.,Fondazione IRCCS Ca Granda ospedale Maggiore Policlinico | And 2 more authors.
Auris Nasus Larynx | Year: 2012

Objective: To evaluate postoperative quality of life in patients undergoing microdebrider intracapsular tonsillotomy and adenoidectomy (PITA) in comparison with traditional adenotonsillectomy (AT) and to assess PITA's efficacy in solving upper-airway obstructive symptoms. Methods: 29 children with adenotonsillar hyperplasia referred for AT were included. Patients were divided into two groups: Group 1 (underwent PITA) included 14 children (age 5.1. ±. 1.8 years) affected by night-time airway obstruction without a relevant history of recurrent tonsillitis; Group 2 (underwent AT) included 15 children (age 5.2. ±. 1.7 years) with a history of upper-airway obstruction during sleep and recurrent acute tonsillitis. Outcomes measures included the number of administered pain medications, time before returning to a full diet, Obstructive Sleep Apnea survey (OSA-18), parent's postoperative pain measure questionnaire (PPPM) and Wong-Baker Faces Pain Rating Scale (WBFPRS). Results: Postoperative pain was significantly lower in the PITA group, as demonstrated by PPPM and WBFPRS scores and by a lower number of pain medications used. PITA group also resumed a regular diet earlier (. P<. 0.001). OSA-18 scores proved that both PITA and AT were equally effective in curing upper-airway obstructive symptoms. Conclusion: PITA reduces post-tonsil ablation morbidity and can be a valid alternative to AT for treating upper-airway obstruction due to adenotonsillar hyperplasia. © 2011 Elsevier Ireland Ltd. Source


Tawfik S.,Ain Shams University | Mohamed Hassan D.,Ain Shams University | Mesallamy R.,Audiology Unit
International Journal of Pediatric Otorhinolaryngology | Year: 2015

Objectives: To evaluate the long term effects of Arabic auditory training 'AT' programs in Egyptian school-aged children with auditory processing disorders 'APD'. Methods: Thirty children with APD who received the proper regular AT for minimum duration of 2 months were included. They were subjected to functional measures 'questionnaire for APD' and psychophysical test battery. It comprised dichotic digits, pitch pattern sequence 'PPS', gap in noise detection 'GIN' and the memory tests. New bench mark battery was applied in the form of the duration pattern, the dichotic rhyme and the informal memory tests. The results of different tests were compared across the evaluation sessions 'pre-training, immediate post training, and the late outcome'. Results: The children were evaluated after mean duration 24.5 months, ranged 7-42 months from the end of AT. No deterioration in the scores of Arabic questionnaire or the psychophysical tests was observed compared to the immediate post training evaluation. The bench mark tests scores matched the age based norms. A statistical significant correlation existed between PPS, GIN tests and the functional measures. Conclusion: The outcome of the AT program showed long term consistency. The temporal processing tests (PPS, GIN) were sensitive tools in monitoring the progress of training. The new bench mark test battery used was effective as the diagnostic test battery in assessing the long term effects of AT program. © 2015 Elsevier Ireland Ltd. Source


Crocetti A.,Fondazione Ascolta e Vivi | Forti S.,Audiology Unit | Del Bo L.,Fondazione Ascolta e Vivi
Auris Nasus Larynx | Year: 2011

Objective: Previous studies report that enhanced power in the delta range (1.5-4. Hz) and reduced power in the alpha frequency band (8-12. Hz) were most pronounced in the temporal regions. These studies referred to the 8-12. Hz activity as tau activity, and they created a new neurofeedback protocol to treat tinnitus using a temporally generated tau rhythm (8-12. Hz) and slow waves in the delta range (3-4. Hz) for feedback. This study aims to repeat this protocol and to evaluate its effect on tinnitus. Methods: Fifteen normal-hearing patients with tinnitus were treated with the neurofeedback protocol. The Tinnitus Handicap Inventory and Visual Analogue Scales were administered before and after treatment and at 1, 3 and 6 months post-treatment. Results: After therapy, all questionnaires scores were significant improved, and the improvements persisted throughout the followup period. Moreover, an increasing trend in the tau/delta ratio was observed; specifically, the trend was more stable respect of the pre-recording measure. However, only in some subjects may the signal alone be enough to develop the correct behaviors. Conclusion: Further studies are necessary to characterize the tinnitus subjects who recovered from and adapted to this psychophysical condition and, therefore, responded to neurofeedback therapy. © 2011 Elsevier Ireland Ltd. Source


Forti S.,Audiology Unit | Amico M.,Fondazione IRCCS Ca Granda ospedale Maggiore Policlinico | Zambarbieri A.,Fondazione IRCCS Ca Granda ospedale Maggiore Policlinico | Ciabatta A.,Fondazione IRCCS Ca Granda ospedale Maggiore Policlinico | And 4 more authors.
Journal of Voice | Year: 2014

Objective Time consuming is an important aspect in assessing dysphonic patients. So, the English version of the Voice Handicap Index (VHI-30), a self-administered questionnaire consisting of 30 items used to evaluate patients' self-perception of voice problems, was reduced to 10 items (VHI-10) for clinical purposes. In 2010, an Italian version of VHI-30 was validated, now the aims of this study were to analyze the psychometric properties of an Italian version of VHI-10 and to evaluate its validity in a cohort of patients affected by organic or functional dysphonia. Study Design Cross-sectional study. Methods The Italian version of the VHI-30 was submitted to 372 dysphonic participants and 120 healthy control subjects and was conducted again 2 weeks later. The 10 items constituting the VHI-10 were extracted from the VHI-30. For 73 dysphonic patients, the questionnaire was also administered after treatment. Results The scores of the control group were significantly lower with respect to all diagnostic subgroups (P < 0.001). The Cronbach's α, test-retest, and Pearson's correlation index demonstrated high reliability and validity of the Italian VHI-10. The ratio of the VHI-10 and VHI-30 scores was higher than 0.333 in all subgroups. Conclusion This study demonstrated that the Italian VHI-10 is a robust tool that can adequately represent and replace the VHI-30. The reported results support the use of the VHI-10 for the Italian population in clinical settings owing to its validity and rapid and simple use. © 2014 The Voice Foundation. Source

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