Evidence Checklist: Loss of Soft Palate

Oral surgery or head/neck surgery evaluation documenting soft palate lossCritical

Records documenting extent of soft palate loss, velopharyngeal insufficiency (VPI), and impact on speech and swallowing.

Speech-language pathology evaluation documenting VPI and intelligibilityCritical

Records documenting hypernasality, nasal air emission, and speech intelligibility impact from soft palate loss.

Nexus opinion linking soft palate loss to service (trauma, cancer surgery)Critical

Medical opinion connecting soft palate resection to in-service trauma or a service-connected malignancy.

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.