Head trauma with ruptured eardrum or concussion or fistula or temporal fracture

Sensorineural hearing loss - Head trauma with ruptured eardrum or concussion or fistula or temporal fracture Factor

To be relevant to sensorineural hearing loss, a head trauma must be of such a degree that it results in either a ruptured ear drum, concussion, a perilymph fistula or a fracture of the temporal bone.

The ruptured ear drum, perilymph fistula or fractured temporal bone must be on the same side as the sensorineural hearing loss you are investigating. If you have coded bilateral deafness and the ruptured ear drum, perilymph fistula or fractured temporal bone affects one ear only, then you should re-code the deafness as left -sided and right-sided.

If a veteran or member had a head trauma as defined above he or she would have needed significant medical attention at that time.

Investigative Documents

Preliminary questions [14419]

14747 there is some evidence that a head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone may be a factor in the development or worsening of the condition under consideration.

14607 the veteran has suffered a head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone at some time.

14608  the veteran has established the causal connection between the head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone and VEA service for sensorineural hearing loss.

14613   the veteran has established the causal connection between the head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone and VEA service for the clinical onset of sensorineural hearing loss.

14615  the veteran has established the causal connection between the head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone and operational service for the clinical onset of sensorineural hearing loss.

or

14616  the veteran has established the causal connection between the head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone and eligible service for the clinical onset of sensorineural hearing loss.

or

7334     the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.

7335     the condition under consideration permanently worsened.

14614   the veteran has established the causal connection between the head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone and VEA service for the clinical worsening of sensorineural hearing loss.

14617  the veteran has established the causal connection between the head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone and operational service for the clinical worsening of sensorineural hearing loss.

or

14618  the veteran has established the causal connection between the head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone and eligible service for the clinical worsening of sensorineural hearing loss.

Clinical onset and operational service [14615]

14609 on operational service, the veteran suffered a head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone.

14619 on operational service, the veteran suffered a head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone within the five years immediately before the clinical onset of the condition under consideration.

14622 the head trauma on operational service causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone within the five years immediately before the clinical onset of the condition under consideration was due to the veteran's serious default, wilful act or serious breach of discipline.

or

14630 the veteran suffered a head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone as a result of an illness or injury which is identifiable.

20178 as a result of the identified illness or injury, the veteran suffered a head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone within the five years immediately before the clinical onset of the condition under consideration.

14631  the identified illness or injury that resulted in the head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone is causally related to operational service.

Clinical onset and eligible service [14616]

14610 on eligible service, the veteran suffered a head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone.

14620 as a causal result of eligible service, the veteran suffered a head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone.

14621 as a causal result of eligible service, the veteran suffered a head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone within the five years immediately before the clinical onset of the condition under consideration.

14623 the head trauma on eligible service causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone within the five years immediately before the clinical onset of the condition under consideration was due to the veteran's serious default, wilful act or serious breach of discipline.

or

14630 the veteran suffered a head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone as a result of an illness or injury which is identifiable.

20178 as a result of the identified illness or injury, the veteran suffered a head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone within the five years immediately before the clinical onset of the condition under consideration.

14632  the identified illness or injury that resulted in the head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone is causally related to eligible service.

Clinical worsening and operational service [14617]

14609 on operational service, the veteran suffered a head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone.

16732 as a causal result of operational service, the veteran suffered a head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone.

14625 as a causal result of operational service, the veteran suffered a head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone within the five years immediately before the clinical worsening of the condition under consideration.

14628 the head trauma on operational service causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone within the five years immediately before the clinical worsening of the condition under consideration was due to the veteran's serious default, wilful act or serious breach of discipline.

or

14630 the veteran suffered a head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone as a result of an illness or injury which is identifiable.

20179 as a result of the identified illness or injury, the veteran suffered a head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone within the five years immediately before the clinical worsening of the condition under consideration.

14631  the identified illness or injury that resulted in the head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone is causally related to operational service.

14633 the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury that resulted in the head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone is causally related.

Clinical worsening and eligible service [14618]

14610 on eligible service, the veteran suffered a head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone.

14620 as a causal result of eligible service, the veteran suffered a head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone.

14626 as a causal result of eligible service, the veteran suffered a head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone within the five years immediately before the clinical worsening of the condition under consideration.

14629 the head trauma on eligible service causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone within the five years immediately before the clinical worsening of the condition under consideration was due to the veteran's serious default, wilful act or serious breach of discipline.

or

14630 the veteran suffered a head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone as a result of an illness or injury which is identifiable.

20179 as a result of the identified illness or injury, the veteran suffered a head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone within the five years immediately before the clinical worsening of the condition under consideration.

14632  the identified illness or injury that resulted in the head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone is causally related to eligible service.

14634 the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury that resulted in the head trauma causing ruptured eardrum, concussion, a perilymph fistula or fracture of the temporal bone is causally related.