Our niece graduated in Cleveland in June and after the ceremony her family took us to Little Italy to celebrate. We had teenagers through seniors in our party but no small children. They chose Etna's for the meal and it was a great choice. As others have mentioned the interior is very small and the tables are close together with not a lot of room to maneuver. As the place filled up the noise level rose, which can be disconcerting for those who like a intimate and quiet meal, but I am told that it was very typical of restaurants in Italy.
Our waiter was very hard to understand and did not really try to help those in our party who had questions about the different dishes. The house "salad" was very different with several different types of lettuces and a little bit of olive oil with fresh pepper - we asked for some balsamic vinegar which greatly improved the taste of the "salad".
I chose a seafood special that was outstanding with fish, calamari, shrimp, mussels and clams and like nothing you would ever get in a typical Italian restaurant - no thick red or white sauce or pasta but a tasty tomato broth with herbs and garlic. My husband had a tortellini dish that was also very tasty, but not run of the mill. My mother-in-law had the fish special that she said was very good (she ate it all without sharing so I have to take her word for it :). Everyone in our party agreed that it was a fabulous meal and a great place to celebrate.