Evidence Checklist: Otosclerosis

ENT/audiology evaluation documenting otosclerosis diagnosisCritical

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

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.

Audiogram with tympanometry documenting conductive hearing lossCritical

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

CT temporal bone documenting otospongiosis (if applicable)

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

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.