Hi Tiku, My suggestion is to avoid using head phone for very long time. But if it is required to use head phone then do take some precautions like use good quality headphone, avoid to use it for continous long time, keep changing the pitch, rate and voice of your screen reader etc. I myself have both vision and hearing impairements and generally prefer to use speaker but sometimes use headphone with some precautions. You can talk to me personally on my cellphone so that I can better understand the problem and can share my experience with you.
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