It's possible that people can still be born mute, in the setting of Accel World. Or else have their voice crippled by disease or injury, as in the case of the throat cancer that afflicted Chiyuri's father.
A child without a voice would be given a Neuro-Linker to communicate, allowing them to text and e-mail, or make phone-calls with their thought-voice.
Someone like this might generate a Duel Avatar built around the wish for a voice. A sonic weapon, and perhaps a disorienting or charming siren song.
Someone born blind... well, would probably just have their eyes replaced with cameras, or have the faulty parts of their brain or connected synapses replaced. This is liable to work much better at replicating human vision than Fuuko's legs can mimic human legs.
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