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Evidence checklist

Otosclerosis

DC 620238 CFR § 4.87Organs of Sense

Evidence strength

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

Target
Saved locally
01

Specialist opinion

Highest value0 of 2 collected
ENT/audiology evaluation documenting otosclerosis diagnosisCritical

Records documenting characteristic audiologic findings: conductive hearing loss with absent stapedial reflexes and type As tympanogram (Carhart notch).

Private provider · independent opinion
Nexus opinion linking otosclerosis progression to noise exposure during serviceCritical

Medical opinion connecting acceleration of otosclerosis or its clinical manifestation to in-service noise exposure.

Private provider · independent opinion
02

Diagnostic tests and lab results

0 of 2 collected
Audiogram with tympanometry documenting conductive hearing lossCritical

Full audiometric evaluation including bone-air gap, tympanogram, and acoustic reflexes documenting otosclerotic hearing loss pattern.

Imaging or lab facility · records request
CT temporal bone documenting otospongiosis (if applicable)

High-resolution CT showing halo sign around cochlea confirming otosclerosis.

Imaging or lab facility · records 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

Service records

0 of 1 collected
Service treatment records (STRs)Critical

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

NPRC / milConnect · SF-180
Condition guideRating criteria and what VA looks forBuddy statement builderGuided VA Form 21-10210

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