<b>Introduction</b> Head sense position is coordinated by sensory activity of the vestibular system, located in the inner ear. Children with sensorineural hearing loss may show changes in the vestibular system as a result of injury to the inner ear, which can alter the sense of head position in this population. <b>Aim</b> Analyze the head alignment in students with normal hearing and students with sensorineural hearing loss and compare the data between groups. <b>Methods</b> This prospective cross-sectional study examined the head alignment of 96 students, 48 with normal hearing and 48 with sensorineural hearing loss, aged between 7 and 18 years. The analysis of head alignment occurred through postural assessment performed according to the criteria proposed by Kendall et al. For data analysis we used the chi-square test or Fisher exact test. <b>Results</b> The students with hearing loss had a higher occurrence of changes in the alignment of the head than normally hearing students (<i>p</i> < 0.001). Forward head posture was the type of postural change observed most, occurring in greater proportion in children with hearing loss (<i>p</i> < 0.001), followed by the side slope head posture (<i>p</i> < 0.001). <b>Conclusion</b> Children with sensorineural hearing loss showed more changes in the head posture compared with children with normal hearing.