For many years, the paired stimulation strategy (P) was the standard configuration recommended by Advanced Bionics for cochlear implant users. However, recent evidence has demonstrated advantages of the sequential strategy (S), leading the company to adopt it as the new standard. Despite this change, many users continue to rely on the P strategy....
✦ The floor
Discussion
Signed responses from readers of the wire.
Cochlear implant audiologists should note this study when considering stimulation strategy changes, but full review of the sample size and outcome data is needed before altering clinical programming protocols.
Optimising stimulation strategies in cochlear implants is a direct lever for improving speech recognition, making findings in this area immediately relevant to CI programming practice.
- 01Published in Brazilian Journal of Otorhinolaryngology (PMID 42790268).
- 02Compares paired vs. sequential electrical stimulation strategies in cochlear implant users.
- 03Primary outcome is speech recognition performance after strategy migration.
- 04Findings may inform clinical decisions about CI programming and mapping.
- 05Sequential stimulation is already used in many modern CI systems; this study examines patient-level impact of switching.
Migrating from paired to sequential stimulation strategies affects speech recognition outcomes in cochlear implant users.
studyunclear- PMID
- 42790268
- DOI
- 10.1016/j.bjorl.2026.101910.
- Journal
- Brazilian Journal of Otorhinolaryngology
- Publication type
- research_article
- Evidence level
- 2b
- Population
- Cochlear implant users migrating from paired to sequential stimulation strategies
- Intervention
- Sequential electrical stimulation strategy
- Comparator
- Paired electrical stimulation strategy
Primary outcomes
Speech recognition scores following stimulation strategy migration