Question - Phonak Nadia Q50-UP vs Q90


Hey, I’m totally new. Hearing impared for 32 out of 38, have a sensorineural hearing loss. I am currently wearing a pair of 1st gen digital Siemens Triano SPs from 2005. They are fading away fast. This means that I need to adapt soonish.

I’ve had a set of Phonak Naida Q50-UPs for a bit, along with an iCUBE programmer + Phonak Target software. I just cannot seem to reach the settings I need (I have like 30 sessions saved), and the failing Trianos seem to win out. I wish this were easier. I don’t know if it’s because I’m shifting from Siemens to Phonak? Maybe I need the Q50 to be a Q90 for additional fine tuning?



Audiogram attached!



I’ve got the Phonak Brio P-UP which is the Naida Q90 and I love mine. I hear so well with them.


My hearing is very profound and worse than your audiogram. I had the Siemens Triano aids too. Due to my hearing loss, l wouldn’t be able to detect the differences of the Phonak Naida B50 and B90. I wanted the B70s for more fitting and better wind in noise program. If you want additional fine tuning then you are better off with the Naida V70 UP aids. The extra gain power will be available if your hearing gets worse due to age related hearing loss. The Naida V70 is much cheaper than the newer Naida B90 UP aids.


Thanks for the response, really appreciate it! Did it take you a while to adapt from the Trianos to the Naida?


After l used the Trianos for a few years, l got a pair of Starkey Destiny 1200 bte aids in 2007.
I haven’t tried the Phonak Naida aids yet. I will be getting the Phonak aids in the first quarter of this year.


Phonak has slightly muffled sound. Try Oticon Dynamo SP10 or SP8.


I will have to stick with the Phonak because l have the icube ll programmer/software and plan to try out different versions like brie 3, naida and unitron max 20 E aids. Also plan to take HIS courses and get a license so l can try various brands without audiologist/HIS cost markups.


Even if Phonak sounds worse than Oticon for you? Programmer and software cannot be a stopper when choosing best sound. Noahlink (wired, not wireless) and Hi-Pro are best and most universal programmers.


My hearing is so profound that l don’t think l can tell the difference between muffled and regular sounds. I will have to wait until l trialed the Phonak aids. There are no such thing as perfect hearing aids for my hearing loss. The best aid would have to be customized for my loss, size of ear canal, etc.


I’m getting the clearest, sharpest sound I’ve ever gotten from a hearing aid, with a Costco version of Phonak Audeo B90.

What model do you think is muffled?


I have had Naida (Core) V UP for about 4 years, then tried Naida S IX UP and then Naida Q70 UP - they all was muffled for me. But Oticon Chili and Dynamo are clear for me from initial fitting - no any adjustments needed.


I too have found the Phonaks to be excellent in sound. I went from the Phonak Naida S III UP, to the Phonak Naida S IX UP, to the Phonak Sky Q70 UP and now the Phonak Brio P-UP which is the Q90.


Maybe Phonak is muffled for me because of I had only Oticons for all my life. So changing to other manufacturer is really bad idea.


Well, the Trianos finally kicked the bucket on me. Bummed!

Now that I’ve been forced to use the Naidas as primaries, I spent more time fiddling with the programming.One thing that seemed to help marginally was setting the algorithm to NAL-NL1 (rather than Phonak Adaptive Digital) and recalculating in the Phonak Target software. I also set it to Linear. This brought me a bit closer to the way the Siemens Trianos sounded, but it’s still not perfect.

Here’s a question — does anyone know if the Trianos are omnidirectional? I know they had TriMic, but they might have just been directional. The reason I ask is, in the Phonak software I can set programs up as either omnidirectional or fixed/directional. That might be something for me to tinker with further.

Phonaks do also sound muffled to me in comparison to the Trianos — lacking “sharpness” in sounds.

Got an appointment with an audiologist on Wednesday to review my setup (bring my laptop, iCube, and Phonak Target software). Maybe I’m overlooking something.



My Phonaks are crystal clear. I don’t know why yours are not, unless they are just not turned up enough.

The settings are stored on the hearing aids so you wouldn’t need to take anything, if that was the reason. They can load all the settings from the hearing aids.


My Phonaks are also crystal clear and not muffled. I love the way they sound.


What Phonaks do you have? How big of a loss? Using SoundRecover? Bass Boost? Many questions :slight_smile:


I have the Phonak Brio which is the Q90. I do use Sound Recover but I don’t use bass boost.


The Trianos used some clever 2nd/3rd order directional patterns to create both a near field and far field response. They were actually quite revolutionary when they came out, but the idea was a Siemens patent so it didn’t get taken up on a wider basis. The beam-forming they use is still one of the best signal to noise standards in the industry.

Newer aids use less hardware (mics) and try to achieve a similar result through more bilateral processing of the combined signal of both sides.

I’d suggest that the nearest match to your old aids would be to put the
Phonak into a Directional pattern and then tweak around he response so they actually sound OK to you.

Bear in mind that an adjustment like this can take a few months to fully habituate in your hearing system.


Thanks for the response — greatly appreciate it! Saw the audiologist today and they took a look at the programs I set up and they looked “good”. Audiologist did suggest switching from NAL-NL1 to DSL 5.1a Pediatric and switched it over. They also reduced the MPO for lower freqs to fix some of the boomy distortion I was having.

Did take your suggestion and switched from omnidirectional. After getting home, I changed the calculation to Phonak Adaptive again since I didn’t like DSL 5.1a…

Will see if I can hold out with these configured as they are for a few weeks to try to acclimate further. Ugh.