Trauma to the auditory apparatus

Tinnitus - Trauma to the auditory apparatus Factor

In the Statement of Principles for Tinnitus the RMA defines trauma to the auditory apparatus as "injury to the tympanic membrane, ear ossicles, cochlea or acoustic nerve caused by trauma to the head."

• Tympanic membranes are the eardrums which separate the outer ear canal from the middle ear.
• Ear ossicles are the 3 small bones in the middle ear which conduct vibrations from the tympanic membrane to the inner ear. They are called the stapes, incus and malleus, also known as the stirrup, anvil and hammer.
• The cochlea is a spirally wound tube, resembling a snail shell which forms part of the inner ear.
• The acoustic nerve is the eighth cranial nerve which connects the ear to the brain.

Last reviewed for CCPS 10 June 2012.

Investigative Documents

Preliminary questions [13074]

13657 there is some evidence that trauma to the auditory apparatus may be a factor in the development or worsening of the condition under consideration.

13091 the veteran has suffered a trauma to the auditory apparatus at some time.

13094  the veteran has established the causal connection between the trauma to the auditory apparatus and VEA service for tinnitus.

13095   the veteran has established the causal connection between the trauma to the auditory apparatus and VEA service for the clinical onset of tinnitus.

30413  the veteran has established the causal connection between the trauma to the auditory apparatus and operational service for the clinical onset of tinnitus.

or

30414  the veteran has established the causal connection between the trauma to the auditory apparatus and eligible service for the clinical onset of tinnitus.

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.

13096   the veteran has established the causal connection between the trauma to the auditory apparatus and VEA service for the clinical worsening of tinnitus.

30415  the veteran has established the causal connection between the trauma to the auditory apparatus and operational service for the clinical worsening of tinnitus.

or

30416  the veteran has established the causal connection between the trauma to the auditory apparatus and eligible service for the clinical worsening of tinnitus.

Clinical onset and operational service [30413]

13778 on operational service, the veteran suffered trauma to the auditory apparatus.

13093 on operational service, the veteran suffered trauma to the auditory apparatus at the time of the clinical onset of the condition under consideration.

13097 the trauma to the auditory apparatus on operational service at the time of the clinical onset of the condition under consideration was due to the veteran's serious default, wilful act or serious breach of discipline.

or

13098 the veteran suffered trauma to the auditory apparatus as a result of an illness or injury which is identifiable.

30417 as a result of the identified illness or injury, the veteran suffered trauma to the auditory apparatus at the time of the clinical onset of the condition under consideration.

30418  the identified illness or injury, which resulted in trauma to the auditory apparatus, is causally related to operational service.

Clinical onset and eligible service [30414]

30419 on eligible service, the veteran suffered trauma to the auditory apparatus.

30420 as a causal result of eligible service, the veteran suffered trauma to the auditory apparatus.

30421 as a causal result of eligible service, the veteran suffered trauma to the auditory apparatus at the time of the clinical onset of the condition under consideration.

30422 the trauma to the auditory apparatus on eligible service at the time of the clinical onset of the condition under consideration was due to the veteran's serious default, wilful act or serious breach of discipline.

or

13098 the veteran suffered trauma to the auditory apparatus as a result of an illness or injury which is identifiable.

30417 as a result of the identified illness or injury, the veteran suffered trauma to the auditory apparatus at the time of the clinical onset of the condition under consideration.

30423  the identified illness or injury, which resulted in trauma to the auditory apparatus, is causally related to eligible service.

Clinical worsening and operational service [30415]

13778 on operational service, the veteran suffered trauma to the auditory apparatus.

30424 as a causal result of operational service, the veteran suffered trauma to the auditory apparatus.

30425 as a causal result of operational service, the veteran suffered trauma to the auditory apparatus at the time of the clinical worsening of the condition under consideration.

30426 the trauma to the auditory apparatus on operational service at the time of the clinical worsening of the condition under consideration was due to the veteran's serious default, wilful act or serious breach of discipline.

or

13098 the veteran suffered trauma to the auditory apparatus as a result of an illness or injury which is identifiable.

30427 as a result of the identified illness or injury, the veteran suffered trauma to the auditory apparatus at the time of the clinical worsening of the condition under consideration.

30418  the identified illness or injury, which resulted in trauma to the auditory apparatus, is causally related to operational service.

30428 the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury, which resulted in trauma to the auditory apparatus, is causally related.

Clinical worsening and eligible service [30416]

30419 on eligible service, the veteran suffered trauma to the auditory apparatus.

30420 as a causal result of eligible service, the veteran suffered trauma to the auditory apparatus.

30429 as a causal result of eligible service, the veteran suffered trauma to the auditory apparatus at the time of the clinical worsening of the condition under consideration.

30430 the trauma to the auditory apparatus on eligible service at the time of the clinical worsening of the condition under consideration was due to the veteran's serious default, wilful act or serious breach of discipline.

or

13098 the veteran suffered trauma to the auditory apparatus as a result of an illness or injury which is identifiable.

30427 as a result of the identified illness or injury, the veteran suffered trauma to the auditory apparatus at the time of the clinical worsening of the condition under consideration.

30423  the identified illness or injury, which resulted in trauma to the auditory apparatus, is causally related to eligible service.

30431 the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury, which resulted in trauma to the auditory apparatus, is causally related.