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Evidence checklist

Deviated Septum

DC 650238 CFR § 4.97Respiratory

Evidence strength

Mark what you already have below and your evidence strength appears here.

Target
Saved locally
01

Specialist opinion

Highest value0 of 3 collected
CT scan of the nose and paranasal sinusesCritical

CT imaging documenting the direction and degree of septal deviation, nasal valve narrowing, and any secondary sinus obstruction or mucosal disease caused by the deviated septum.

Private provider · independent opinion
ENT evaluation with nasal endoscopyCritical

Otolaryngologist examination with anterior rhinoscopy or nasal endoscopy documenting the deviation, nasal airway obstruction, turbinate hypertrophy, and symptom burden.

Private provider · independent opinion
Nexus opinion linking deviated septum to service ("at least as likely as not")Critical

A medical opinion connecting the septal deviation to an in-service traumatic injury to the nose (combatives, sports, blast injury, vehicle accident) or aggravation of a pre-existing deviation during service.

Private provider · independent opinion
02

Treatment records

0 of 1 collected
Treatment records (septoplasty, nasal sprays, decongestants)

Records documenting conservative treatment and any surgical correction (septoplasty or septorhinoplasty), including operative reports and post-surgical outcomes.

VA or private records · written request
03

Lay statements

0 of 2 collected
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.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
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.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
04

Benefits questionnaire

0 of 1 collected
Completed DBQ Sinusitis/Rhinitis and Other Conditions of the Nose, Throat, Larynx, and PharynxCritical

Standardized form capturing nasal examination findings, obstruction severity, and functional impact of the deviated septum.

Provider-completed · VA DBQ formHow to get this →
05

Service records

0 of 2 collected
Service records documenting nasal trauma

Military medical records showing an in-service nasal injury, fracture, or impact event that caused or contributed to the septal deviation.

NPRC / milConnect · SF-180
Service treatment records (STRs)Critical

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

NPRC / milConnect · SF-180

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