Evidence Checklist: Salivary Gland Disease

Oral surgery or otolaryngology evaluation documenting salivary gland conditionCritical

Records documenting condition type (chronic parotitis, Sjogren's, salivary duct obstruction, radiation-induced xerostomia), symptoms, and treatment.

Nexus opinion linking salivary gland disease to service (radiation, trauma, medication)Critical

Medical opinion connecting salivary gland disease to in-service head/neck radiation, trauma, or medications used in service, or to a service-connected condition (Sjogren's as secondary to another autoimmune SC condition).

Salivary gland ultrasound, CT, or MRI

Imaging documenting gland size, calculi, duct obstruction, or structural changes.

Lab workup for autoimmune cause (ANA, anti-SSA/SSB if Sjogren's)

Laboratory results supporting an autoimmune salivary gland disease diagnosis.

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.