%0 Journal Article %J Acta Otorhinolaryngol Ital %D 2016 %T Achieving early functional auditory access in paediatric cochlear implantation. %A Orzan, E %A Muzzi, E %A Marchi, R %A Falzone, C %A Battelino, S %A Ciciriello, E %X

Cochlear implantation (CI) is a viable option for providing access to auditory stimulation in severe-to-profound hearing loss/impairment of cochlear origin. It has been demonstrated that CI is safe and effective for deaf children. Younger age at activation after CI is linked with better outcomes. It is important to study variables and issues that can interfere with an early fitting and access to sound after CI. They range from patient characteristics, family compliance and support, to technical, medical or organisational problems. A SWOT analysis and a subsequent TOWS matrix was conducted to discuss issues and propose recommendations to be considered when operating an early switch on of the CI.

%B Acta Otorhinolaryngol Ital %V 36 %P 45-50 %8 2016 Feb %G eng %N 1 %1 http://www.ncbi.nlm.nih.gov/pubmed/27054390?dopt=Abstract %R 10.14639/0392-100X-1075 %0 Journal Article %J Acta Otorhinolaryngol Ital %D 2016 %T Empowering the family during the first months after identification of permanent hearing impairment in children. %A Ciciriello, E %A Bolzonello, P %A Marchi, R %A Falzone, C %A Muzzi, E %A Orzan, E %X

The latest international guidelines highlight the importance of involving the family in the diagnostic and rehabilitation process of children affected by permanent hearing impairment. This emphasises how meaningful this approach is for the development of the deaf child. So far, there is very little evidence about this approach in Italy, and there are still some barriers to its practical management. The aim of this paper is to report the results of a strategic analysis, which identifies the strengths, weaknesses, opportunities and threats of the family empowerment process during early auditory diagnosis and rehabilitation. The audiology programme should have the goal to offer information and support to families in order to achieve a conscious decision about the use and type of auditory prosthesis and rehabilitation choice within three months after audiologic diagnosis. Within the framework of the Ministry of Health project CCM 2013 "Preventing Communication Disorders: a Regional Program for Early Identification, Intervention and Care of Hearing Impaired Children", a group of professionals identified three main recommendations that can be useful to foster the natural communicative development of the child by strengthening the therapeutic alliance and empowerment of the family. The recommendations obtained with this analysis can help to develop new Italian guidelines with the aim to foster natural communicative development of the child by strengthening the therapeutic alliance and empowerment of the family.

%B Acta Otorhinolaryngol Ital %V 36 %P 64-70 %8 2016 Feb %G eng %N 1 %1 http://www.ncbi.nlm.nih.gov/pubmed/27054393?dopt=Abstract %R 10.14639/0392-100X-1071