Evidence Checklist: Chronic Otitis Media
DC 6200
Significant gaps — claim likely to be denied or underrated
Specialist Opinion (Highest Value)
ENT evaluation documenting chronic otitis media and hearing lossCritical
Records from an ENT specialist documenting recurrent ear infections, effusion, perforation, cholesteatoma, or other OM complications.
Nexus opinion linking chronic otitis media to serviceCritical
Medical opinion connecting chronic OM to in-service noise-induced Eustachian tube dysfunction, barotrauma (flight/diving), or recurrent in-service infections.
Diagnostic Tests & Lab Results
Audiogram documenting conductive or mixed hearing lossCritical
Hearing test results showing the type and degree of hearing loss resulting from chronic otitis media.
CT temporal bone (if cholesteatoma or surgery planned)
CT imaging documenting bony erosion or cholesteatoma when applicable.
Lay Statements & Personal Documentation
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 Records
Service treatment records (STRs)Critical
Military medical records showing in-service treatment, complaints, or injuries related to this condition.