To the Editor We read with great interest the article published by Bang et al1 recently reporting the association of hearing impairment with postural instability. The authors concluded that moderate or worse hearing loss (HL) was associated with increased odds of postural instability (PI), and aging and female sex were also related to PI. It sounds reasonable, and can be explained by the coexistence of vestibular function impairment with hearing loss due to the anatomical cochlea-vestibule relationship.