Evidence Checklist: Eustachian Tube Dysfunction
DC 6200
Significant gaps — claim likely to be denied or underrated
Specialist Opinion (Highest Value)
ENT evaluation documenting eustachian tube dysfunctionCritical
Evaluation by an otolaryngologist documenting symptoms including ear pressure, popping, muffled hearing, pain, and tympanic membrane findings.
Nexus opinion linking eustachian tube dysfunction to serviceCritical
A medical opinion connecting your eustachian tube dysfunction to in-service blast exposure, pressure changes (diving, aviation), recurrent ear infections, or sinus conditions during service.
Audiometric testing for hearing changes
Audiogram results showing any conductive hearing loss or hearing changes associated with eustachian tube dysfunction.
Tympanometry results
Objective testing showing abnormal middle ear pressure or tympanic membrane compliance, confirming eustachian tube dysfunction.
Treatment Records
Treatment records (medications, procedures, tubes)
Records documenting treatment attempts including nasal steroids, decongestants, balloon dilation, and pressure equalization tube placement.
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.
Disability Benefits Questionnaire (DBQ)
Completed DBQ Ear ConditionsCritical
Standardized form capturing ear examination findings, hearing test results, and functional impact.
Service Records
Documentation of blast exposure or altitude changes during service
Service records documenting blast exposure, airborne operations, diving duty, flight duty, or other activities involving significant pressure changes.
Service treatment records (STRs)Critical
Military medical records showing in-service treatment, complaints, or injuries related to this condition.