Evidence Checklist: Cholesteatoma
DC 6200
Significant gaps — claim likely to be denied or underrated
Specialist Opinion (Highest Value)
ENT evaluation and surgical records documenting cholesteatomaCritical
Records from an ENT specialist documenting the cholesteatoma (primary vs. acquired, location, extent) and surgical treatment (tympanomastoidectomy) with pathology confirmation.
Nexus opinion linking cholesteatoma to service (TM perforation from blast, recurrent OM)Critical
Medical opinion connecting cholesteatoma to in-service TM perforation from blast injury or chronic otitis media acquired during service.
Diagnostic Tests & Lab Results
CT temporal bone documenting extent and bony erosionCritical
High-resolution CT showing opacification of the middle ear/mastoid and any bony destruction from the cholesteatoma.
Audiogram documenting hearing lossCritical
Hearing test results showing conductive or mixed hearing loss from cholesteatoma.
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.