I wouldn't think there would be much more risk. However with ear protection in place you will notice your voice more (and any tinnitus for that matter) due to a big reduction in external noise which would normally mask internal sounds.
I have to shout really loud every day at work
Getting classes in for dinner,lining up,dinner clubs etc and I wear hearing aids also....no problem ,
Can hear me shout right across the school yard so I don't need a whistle or bell
Love glynis
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