Evidence Checklist: Tympanic Membrane Perforation
DC 6211
Significant gaps — claim likely to be denied or underrated
Specialist Opinion (Highest Value)
ENT evaluation documenting TM perforation size, location, and hearing impactCritical
Records from an ENT specialist documenting perforation size (as percentage of TM), anterior/posterior/marginal location, and associated hearing loss.
Nexus opinion linking TM perforation to service (blast, barotrauma, head injury)Critical
Medical opinion connecting TM perforation to in-service blast overpressure, barotrauma (aviation/diving), or direct trauma to the ear.
Diagnostic Tests & Lab Results
Audiogram documenting conductive hearing lossCritical
Hearing test results showing the conductive hearing loss gap from the TM perforation.
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.