Chronic upper respiratory tract infections include a. Types of Chronic Upper Respiratory chronic rhinitis Tract Infections chronic sinusitis chronic tonsillitis, and chronic laryngitis. b. Evaluating Evaluate sinusitis under . Sinusitis When applying the higher of two possible evaluations under , a history of radical surgery or repeated surgeries is required if the criteria under the not rating formula are otherwise met. The application of results in an evaluation of 50 percent when the Example: evidence shows chronic osteomyelitis, or near constant sinusitis, characterized by headaches pain and tenderness of affected sinus, and purulent discharge, and no evidence of radical surgery or repeated surgery. For more information on the schedule of rating respiratory Reference: conditions, see . The cause of two or more coexisting chronic upper respiratory tract infections c. Identifying the Cause of is commonly the same infectious process. However, if two or more chronic Coexisting infections persist over a period of years, give the probability of causation by Chronic Upper separate types of organisms due weight. Respiratory Tract Infections If all respiratory conditions do not originate in service, there must be evidence d. Continuous Upper of a fairly continuous infection in one or more parts of the upper respiratory Respiratory tract to warrant service connection (SC) for other conditions first manifest Tract Infections after discharge. First Manifest After Discharge Carefully consider the character of the infection and possible intervening causes.
a. Types of Chronic Upper Respiratory Tract Infections Chronic upper respiratory tract infections include chronic rhinitis chronic sinusitis chronic tonsillitis, and chronic laryngitis. b. Evaluating Sinusitis Evaluate sinusitis under . When applying the higher of two possible evaluations under , a history of radical surgery or repeated surgeries is not required if the criteria under the rating formula are otherwise met. Example: The application of results in an evaluation of 50 percent when the evidence shows chronic osteomyelitis, or near constant sinusitis, characterized by headaches pain and tenderness of affected sinus, and purulent discharge, and no evidence of radical surgery or repeated surgery. Reference: For more information on the schedule of rating respiratory conditions, see . c. Identifying the Cause of Coexisting Chronic Upper Respiratory Tract Infections The cause of two or more coexisting chronic upper respiratory tract infections is commonly the same infectious process. However, if two or more chronic infections persist over a period of years, give the probability of causation by separate types of organisms due weight. d. Continuous Upper Respiratory Tract Infections First Manifest After Discharge If all respiratory conditions do not originate in service, there must be evidence of a fairly continuous infection in one or more parts of the upper respiratory tract to warrant service connection (SC) for other conditions first manifest after discharge. Carefully consider the character of the infection and possible intervening causes.