An inflammatory or infectious condition to ear or nose or throat

Dislocation - An inflammatory or infectious condition to ear or nose or throat Factor

This factor is only relevant if the dislocation is of the rotational atlantoaxial joint (C1-C2 level of the spine).

In medical terms the ear, nose, and throat are described to involve the following:

Ear:  The pinna or auricle ( the outside part of the ear), the external auditory canal or tube, the tympanic membrane (eardrum), middle ear (tympanic cavity), consisting of the ossicles – called the malleus ,incus , and stapes, the eustachian tube, and the inner ear , consisting of the cochlea , vestibule, and semicircular canals.

Nose:  The external meatus, external nostrils, septum, nasal passages , and sinuses.

Throat:  The larynx, epiglottis, tonsils and adenoids.

Inflammatory conditions or infections that can involve the ear, nose or throat will normally involve both infection and inflammation, and can include:

• Sinusitis
• Rhinitis and Pharyngitis (common cold, URTI's)
• Influenza
• Otitis media
• Otitis externa
• Eustachian tube dysfunction
• Bacterial infections such as streptococcus, Staphylococcus aureus, and mononucleosus (glandular fever)
• Viral infections such as measles
• Fungal conditions such as candida albicans (oral thrush)
• Cancers

A history of an inflammatory or infectious condition involving the ear nose or throat in the 14 to 21 days before the onset of the rotational atlantoaxial dislocation should have been noted on the medical records, although medical attention may not have been sought by the person.  Therefore, a reliable history of a condition in this period before the onset of the dislocation will generally be accepted unless there is contradictory evidence.  If the evidence is unclear, seek medical advice.

Last reviewed for CCPS 27 September 2014.

Investigative Documents

Preliminary questions [42232]

42247 there is some evidence that an inflammatory or infectious condition to the ear, nose or throat may be a factor in the development of dislocation.

42248 the veteran has a dislocation of the rotational atlantoaxial joint.

42249 the veteran had an inflammatory or infectious condition to the ear, nose or throat at some time.

42250 the veteran had the inflammatory or infectious condition to the ear, nose or throat due to an illness or injury which is identifiable.

42251  the veteran has established the causal connection between the inflammatory or infectious condition to the ear, nose or throat and VEA service for the clinical onset of dislocation.

42252   the veteran has established the causal connection between the inflammatory or infectious condition to the ear, nose or throat and eligible service for the clinical onset of dislocation.

or

42253   the veteran has established the causal connection between inflammatory or infectious condition to the ear, nose or throat and operational service for the clinical onset of dislocation.

Clinical onset and operational service [42253]

42256 the veteran had the illness or injury, an inflammatory or infectious condition to the ear, nose or throat within the 21 days before the clinical onset of dislocation.

42257  the identified illness or injury, an inflammatory or infectious condition to the ear, nose or throat, is causally related to operational service.

Clinical onset and eligible service [42252]

42254 the veteran had the illness or injury, an inflammatory or infectious condition to the ear, nose or throat within the 14 days before the clinical onset of dislocation.

42255  the identified illness or injury, an inflammatory or infectious condition to the ear, nose or throat, is causally related to eligible service.