Evidence Checklist: Deviated Septum

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.

ENT evaluation with nasal endoscopyCritical

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

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.

Treatment records (septoplasty, nasal sprays, decongestants)

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

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.

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.

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.

Service treatment records (STRs)Critical

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