About
30
Publications
3,142
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261
Citations
Citations since 2017
Introduction
Researcher in the fields of voice and swallowing physiology, voice and swallowing pathology, phonosurgery and rehabilitation.
Additional affiliations
October 2019 - September 2020
Position
- Professor (Assistant)
Description
- Speech and Language Pathology degree course
October 2019 - January 2020
December 2014 - December 2018
Education
December 2014 - December 2018
October 2013 - July 2014
October 2007 - July 2013
Publications
Publications (30)
Objective:
Parotidectomy is the main treatment for parotid tumours, but its functional and aesthetic sequelae can be very disturbing for patients.
Methods:
15 patients underwent total conservative parotidectomy, harvesting of a superficial musculoaponeurotic system (SMAS) flap and lipofilling between May 2014 and June 2020 for a benign parotid t...
Objective
To validate the Extended GRBAS Scale (GS) and to investigate its inter- and intra-rater reliability and reproducibility. The Extended GS contains the Standard GS with 8 added perceptual parameters similar to those present in the CAPE-V.
Methods
We have carried out a retrospective study on 480 evaluation forms for the perceptual evaluatio...
Tubercolosi laringea: case report con focus sulla valutazione della voce e revisione della letteratura.
Riassunto: La tubercolosi laringea (LTB) è una rara manifestazione della tubercolosi (TB), e rappresenta l’1% di tutti i casi di TB. Nonostante sia una patologia di raro riscontro, rappresenta la malattia granulomatosa laringea più frequente. In...
Objective:
The present study evaluates voice and communication after open partial horizontal laryngectomies (OPHLs), according to surgery and patient-related variables.
Methods:
Fifty-eight patients were included: 18 type I OPHL, 20 type II OPHL and 20 type III OPHL. Acoustic, aerodynamic, endoscopic, perceptual and self-assessment analyses were...
Objective:
The aim of the present study is to evaluate the efficacy of phonosurgical corrective approaches based on injection laryngoplasties and pharyngoplasties followed by speech therapy for voice restoration after unsatisfactory phonatory results of open partial horizontal laryngectomies.
Methods:
Ten patients with not satisfying phonatory r...
Objective:
The COVID-19 pandemic emergency forced the health system in Italy to implement an immediate reorganisation to support the care of tens of thousands of patients and to maintain the quality of care for patients with other pathologies, such as oncologic diseases. The main goal of this study was to evaluate the impact of COVID-19 restrictio...
Background
In minority of cases, the clinical recovery of the neolarynx after open partial horizontal laryngectomies (OPHLs) can be challenging, possibly affecting the final functional outcome.
Methods
One hundred and twenty-three patients who underwent OPHLs were selected. A series of clinical preoperative independent variables were considered. A...
Objective
The present study proposes a direct surface hydration system based on nasal breathing through a damp gauze. The goal is to observe whether such direct hydration procedure positively modifies vocal fold functionality by improving voice quality and enhancing the mobility and pliability of the vocal fold mucosa.
Methods
Sixty-one young adul...
The aim of the present literature review is to describe the influence of sex hormones on the human voice in physiological conditions. As a secondary sexual organ, the larynx is affected by sex hormones and may change considerably over the lifespan. In the current review, sex hormone-related voice modifications occurring during childhood, puberty, t...
Objective
During the Italian lockdown for Covid-19 emergency, due to stay-at-home orders, many people experienced an unusual period of voice rest. The present case series aims at reporting the spontaneous regression of some vocal fold polyps during the Italian lockdown for SARS-CoV2 pandemic.
Methods
5 patients with voice complaints presenting to...
Objective
The aim of the present study is to validate the Acoustic Voice Quality Index version 03.01 in the Italian language (AVQIv3-IT).
Methods
A total of 150 native Italian speakers with normal voices (n = 50) and with various voice disorders (n = 100) were enrolled. Voice samples of a sustained vowel (SV) [a:] and five phonetically balanced co...
Objective:
The recent introduction of 3D exoscopic surgery has allowed interesting technical improvements in head and neck surgery resulting in technical solutions that are also applicable to neck dissection. The aim is to replace robotic surgery while minimising the costs of the procedure.
Methods:
Based on these considerations, we conducted a...
Objective
The aim was to investigate the efficacy of the Proprioceptive Elastic Method (PROEL) in the rehabilitation of the substitution voice after open partial horizontal laryngectomy (OPHL).
Study design
Prospective outcome study.
Methods
Fifteen patients surgically treated by OPHL type II or type III for laryngeal cancer were recruited (exper...
A standard for assessing swallowing function after open partial horizontal laryngectomy (OPHL) is still not established. The variability in the measures used to investigate swallowing functional outcomes after OPHL limits the communication among clinicians and the possibility to compare and combine results from different studies. The study aims to...
Background
The application of CO2 fiber laser technology to ENT surgery has led to new interesting scenarios, both in endoscopic and in open surgical approaches.
Methods
The current video shows three examples of open partial horizontal laryngectomies (OPHLs) performed using CO2 fiber laser for resection procedures.
Results
CO2 fiber laser helped...
Dysphagia is common after an open partial horizontal laryngectomy (OPHL). The mechanisms causing lower airways’ invasion and pharyngeal residue are unclear. The study aims to examine physio-pathological mechanisms affecting swallowing safety and efficiency after OPHL. Fifteen patients who underwent an OPHL type IIa with arytenoid resection were rec...
Background:
Several studies have previously analyzed the relationship between QOL and signs of dysphagia in patients treated for head and neck cancer and have reported heterogeneous findings. To the best of our knowledge, no study has previously investigated this relationship among patients who underwent open partial horizontal laryngectomy (OPHL)...
Purpose of the Review
The aim of this study is to compare the results of surgical and non-surgical approach for T4a laryngeal cancer in term of curative effects, complications, and functional results by means of a systematic review of the most recent literature.
Recent Findings
Despite the recommendations contained in the guidelines, a general ris...
Purpose of review:
To describe current evidence about supratracheal laryngectomies, focusing on indications, contraindications, oncologic results, functional outcomes and side-effects of this 'extreme' function-sparing surgical approach to laryngeal cancer.
Recent findings:
In the latest years, some studies have analyzed oncologic and functional...
The aim was to investigate telephonic voice intelligibility in patients treated for laryngeal cancer using different approaches. In total, 90 patients treated for laryngeal cancer using different approaches and 12 healthy volunteers were recruited. Each patient and each healthy control read a list of words and sentences during a telephone call. Six...
Supracricoid laryngectomies (SCLs) are conservative organ-sparing surgical techniques for the treatment of selected T2–T4 laryngeal carcinomas. Although these procedures allow preserving the larynx and its functions, in several countries SCLs are not adopted in oncological protocols. One of the possible reasons to account for this choice is the com...
Estill Voice Training (EVT) is a widely known programme for developing vocal skills based on partitioning the process of vocal production in order to reach control of specific structures in the vocal mechanism. The present retrospective small-scale exploratory study aims at reporting preliminary data about the efficacy of EVT - in terms of voice qu...
Objective:
The current study aimed at investigating the immediate effects of a semi-occluded vocal tract exercise with a ventilation mask in a group of contemporary commercial singers.
Study design:
A randomized controlled study was carried out.
Methods:
Thirty professional or semi-professional singers with no voice complaints were randomly di...
Background:
The purpose of this study was to compare long-term swallowing, voice results, and quality of life (QOL) after open partial horizontal laryngectomy (OPHL) type IIa and type IIIa.
Methods:
Twenty-three patients after OPHL type IIa and 18 patients after OPHL type IIIa were involved. Swallowing skills and neoglottis' motility and vibrati...
Background
To evaluate the feasibility of photodynamic therapy (NP-PDT). in the palliative management of recurrent/persistent nasopharyngeal cancer (NFC).
Methods
Six patients with persistent/recurrent NPC underwent PDT with palliative intent. NP-PDT was delivered by three different methods depending on the localization,size and depth of the lesio...
Herein we assessed the impact of direct autofluorescence during intraoperative work-up on obtaining superficial free resection margins, identifying new areas of malignant transformation and altering disease-free survival and local control at 3 years in patients submitted to transoral laser surgery (TLS) for early glottic cancer. Prospective cohort...
Background:
The purpose of this study was to report preliminary long-term outcomes after supratracheal laryngectomy (STL).
Methods:
Twenty-two male patients who underwent STL were involved in this study. Swallowing skills, neoglottis motility, and vibrations were videoendoscopically assessed. Aerodynamic measures, spectrogram analysis, aspiratio...
Projects
Project (1)
New strategies for voice rehabilitation, both concerning technological and surgical approaches (represented by new specific devices for voice therapy, biofeedback strategies based on real-time visual feedback softwares for voice analysis and corrective surgical approaches aiming at improving the vibratory characteristics of the phonatory mucosa) have been recently applied with success to functional and organic dysphonias, but have never been applied to severe dysphonias following laryngeal cancer treatments. We hypothesize that a standardized application of such approaches to strongly deteriorated voices after laryngeal cancer could help patients achieve satisfactory voice quality.
