Evidence Checklist: Chronic Otitis Externa

ENT evaluation documenting chronic otitis externa diagnosisCritical

Records from an ENT specialist documenting recurrent external ear canal inflammation, infection, and complications.

Nexus opinion linking chronic OE to service (water exposure, humid environments)Critical

Medical opinion connecting chronic otitis externa to in-service exposure to water, humid tropical environments, or hearing protection use that traps moisture.

Treatment records for recurrent otitis externa episodesCritical

Records of antibiotic/antifungal ear drop treatments, debridement, and frequency of recurrences — establishes chronicity.

Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.