Unit SPEECH AND LANGUAGE THERAPY - AUDIOLOGY AND PHONIATRICS

AUDIOLOGY

Code	50564002
CFU	2
Teacher	Giampietro Ricci
Teachers	Giampietro Ricci Valeria Gambacorta (Codocenza)
Hours	12 ore - Giampietro Ricci 12 ore (Codocenza) - Valeria Gambacorta
Learning activities	Caratterizzante
Area	Scienze teorico-pratiche della logopedia
Sector	MED/32
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	The course examines in depth the anatomical and functional organization of the outer, middle, and inner ear, the cochlea, the vestibular system, the auditory nerve, and the central auditory pathways. It analyzes sound stimulus transduction processes, central auditory information processing, auditory system plasticity, and the neurophysiological mechanisms of balance. It also covers principles of acoustics applied to audiology, methods for assessing auditory function, the interpretation of key subjective and objective audiological tests, pediatric audiology, neonatal hearing screening, the diagnosis and classification of hearing loss, the genetic basis of hereditary deafness and associated syndromes, diagnostic-therapeutic pathways, auditory rehabilitation, conventional hearing aids, bone-conduction devices, and major implantable solutions, with a particular focus on the multidisciplinary management of patients with hearing loss.
Educational objectives	Upon completion of the course, the student will be able to: describe the anatomy and physiology of the auditory and vestibular systems; understand the mechanisms of mechano-electrical transduction and the central processing of sound information; understand the organization and functioning of the central auditory and vestibular pathways; understand the physiological principles of auditory perception, sound localization, auditory system plasticity, and balance control; understand the principles of acoustics and psychoacoustics as applied to auditory function; acquire the theoretical foundations of audiological assessment and the main subjective and objective diagnostic methods; interpret the main acoumetric and audiometric tests, as well as instrumental audiological assessments; understand neonatal audiological screening programs, surveillance criteria, and diagnostic pathways for childhood hearing loss; understand the classification, epidemiology, etiology, and pathophysiology of congenital and acquired hearing loss; understand the main genetic bases of hereditary deafness and the most common syndromic conditions associated with hearing impairment; acquire knowledge regarding the principles of auditory rehabilitation, hearing aids, bone-conduction devices, and the main implantable solutions; understand the multidisciplinary care pathway for patients with hearing loss and the principles of audiological follow-up.
Teaching methods	Lesson
Learning verification modality	oral exam
Extended program	1. Fundamentals of Audiology Anatomy and physiology of the audio-vestibular system. Outer, middle, and inner ear. Vestibular system. Cochlear nerve. Central auditory pathways. Auditory cortex. Plasticity of the auditory system. Role of the cerebellum in auditory perception. Balance system and central vestibular pathways. 2. Acoustics and Physiology of Hearing Physical properties of sound. Mechanical waves. Frequency, intensity, and auditory threshold. Sound localization. Sound transmission. Cochlear physiology. Organ of Corti. Inner and outer hair cells. Otoacoustic emissions. Mechanisms of auditory transduction. 3. Assessment of Auditory Function Audiological history. Otorhinolaryngological physical examination. Otoscopy. Pneumatic otoscopy. Fiber-optic otoscopy. 4. Audiological Techniques Subjective techniques Acumetry. Tuning fork tests. Rinne test. Weber test. Schwabach test. Bing test. Gellé test. Pure-tone threshold audiometry. Suprathreshold tone audiometry. Speech audiometry. Objective techniques Impedance audiometry. Tympanometry. Stapedial reflex. Metz test. Reflex decay. Otoacoustic emissions. Auditory brainstem response (ABR/BAER). Principles of pediatric behavioral audiometry. 5. Pediatric Audiology Development of auditory function. Neonatal audiological screening. Screening and surveillance protocols. Early diagnostic pathway for childhood hearing loss. Functional and etiological diagnosis. Early management. Audiological follow-up. 6. Hearing loss Epidemiology. Classification of hearing loss. Conductive, sensorineural, and mixed hearing loss. Congenital hearing loss. Acquired hearing loss. Audiological risk factors. Differential diagnosis. 7. Genetics of hearing loss Genetic basis of deafness. Inheritance patterns of hereditary hearing loss. Syndromic and non-syndromic hearing loss. Major genetic disorders associated with hearing impairment. Role of genetic counseling and etiological assessment in the diagnostic process. 8. Auditory rehabilitation Principles of audiological rehabilitation. Correction of hearing loss. Conventional hearing aids. Bone conduction devices. Osseointegrated systems (BAHA and related systems). Principles of surgical techniques for implantable devices. Complications and follow-up. Clinical indications for implantable systems. 9. Management of the patient with hearing loss Care pathway for the patient with hearing loss. Etiological and functional diagnosis. Therapeutic planning. Multidisciplinary rehabilitation. Assessment of therapeutic outcomes. Clinical and audiological follow-up.

LOGOPEDIC ASSESSMENT OF HEARING IMPAIRMENT

Code	A005355
CFU	2
Teacher	Isabella Saffini
Teachers	Isabella Saffini
Hours	24 ore - Isabella Saffini
Learning activities	Caratterizzante
Area	Scienze teorico-pratiche della logopedia
Sector	MED/50
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Introduction to the main speech therapy assessment methodologies for the assessment of the communicative and linguistic competences on children affected by hypoacusis. This will help to develop a precise speech therapy programme within a global rehabilitation project. Introduction to rehabilitation methodologies and analysis of guidelines in relation to hypoacusis children.
Reference texts	materials provided in the classroom by the teacher with reference to some texts such as: la presa in carico logopedica in età evolutiva, il protocollo di videoanalisi
Educational objectives	The main aims of this teaching is to provide to student: • Diagnostic method of deafness • Perceptive and auditory skill in the child and evaluations tools • The role of the speechterapist in the diagnostic time e abilitation project • Main caratteristics
Prerequisites	In order to be able to understand and to know the content of the course, students must have the basic notions of language development in the
Teaching methods	Theoretical lessons and practical exercises the course is organized as followes:: • face to face lessons • pratical exercises • dvd showing about specific argome
Learning verification modality	Written test with open questions The final test is written test with three open teorical questions and discussion of clinical case. Also is possible to take oral test with open questions.
Extended program	Speech assessment, speech anamnesis Test of the communicative ability: individual communicative profile in relation to age and socio-cultural level. Assessment of perceptive and auditive capacities. Assessment of all communicative abilities and linguistic competences: articulatory and phonetic, semantic and lexical, morpho-syntactical and pragmatic. Assessment protocols and specific tests.

OTOLARYNGOLOGY

Code	50562303
CFU	3
Teacher	Giampietro Ricci
Teachers	Giampietro Ricci Jenny Pagliari
Hours	4 ore - Giampietro Ricci 32 ore - Jenny Pagliari
Learning activities	Caratterizzante
Area	Scienze teorico-pratiche della logopedia
Sector	MED/31
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Anatomy-pathology and malformations of oral cavity,istmus of the fauces,nose,paranasal sinuses,nasopharinx and larynx. Dysphagia
Reference texts	G.Rossi-Compendio di Otorinolaringoiatria . Editions Minerva Medica R.Abera,O.Schindler-Audiologia e Foniatria. Editions Minerva Medica-Torino
Educational objectives	Knowledge of the main concepts of anotomy-physio-pathology of oral cavity, istmus of fauces, nose, nasopharinx, paranasal sinuses, and larynx. Dysphagia
Prerequisites
Teaching methods	Face-to-face lessons
Other information
Learning verification modality	Oral-exam lasting about 15 minutes divided into 2 questions and an additional question about the minimum essential knowledge can be asked in the case of an unsatisfactory answer to the two previous questions.
Extended program	Oral cavity: Hints of Anatomy-Malformations-Inflammation- .Istmus of the fauces: Hints of Anatomy- Inflammation –Tonsillitis- Abscesses- Benign and malignant tumors- DysphagiaNose. Hints of Anatomy-Malformations-Inflammation- Benign and malignant tumors- Foreign bodies Nasopharinx: Hints of Anatomy--- Inflammation –Adenoidal hypertrophy- Benign and malignant tumors Paranasal Sinuses: Hints of Anatomy--- Inflammation- Benign and malignant tumors.Fractures of the nose and paranasal sinuses Larinx: Hints of Anatomy-Malformations-Inflammation –Functional and organic dysphonias-Benign and malignant tumors. Dysphagia.
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