09-07 338
09-07 338
| Board of Vet. App. | Jun 15, 2017Background
- Veteran served on active duty Jun–Sep 1982 and in Army Reserves 1984–1991; alleges a broken nose from being struck by a tree branch in June 1985 during service.
- Initially filed for service connection for residuals of a broken nose; RO rating decision in Feb 2008; Board denied in May 2014; CAVC vacated and remanded (Nov 2015); Board remanded for development May 2016 and ordered VA exam and records search.
- Service treatment records note being hit by a tree branch with a corneal abrasion; no contemporaneous documentation of nasal trauma or bloody nose in STRs.
- Post-service records: nasal surgery in 1990 (records destroyed/unavailable) and first documented diagnosis of sinusitis in 1999; claimant reports chronic sinus symptoms and post-nasal drip since the 1985 incident.
- VA provided a 2016 nexus exam diagnosing chronic sinusitis and opining, with rationale, that it is less likely than not related to the claimed in-service nasal injury (cited lack of in-service nasal trauma documentation and remote timing of sinus diagnosis).
- Board found VA satisfied its notice and duty-to-assist obligations, credited the 2016 VA medical opinion over the Veteran’s lay assertions, and denied service connection.
Issues
| Issue | Plaintiff's Argument (Veteran) | Defendant's Argument (VA/Board) | Held |
|---|---|---|---|
| Entitlement to service connection for residuals of a broken nose (sinusitis) | Sinus problems (post-nasal drip, chronic sinusitis) began after being struck by a tree branch in service in 1985; thus sinusitis is service-connected | STRs show the tree-branch incident but only document corneal abrasion; no in-service nasal trauma or bloody nose noted; first sinus diagnosis years later; 2016 VA examiner opines against nexus | Denied — preponderance of evidence against service connection |
Key Cases Cited
- Quartuccio v. Principi, 16 Vet. App. 183 (Vet. App. 2002) (VCAA notice requirements)
- Pelegrini v. Principi, 18 Vet. App. 112 (Vet. App. 2004) (VCAA notice requirements)
- Barr v. Nicholson, 21 Vet. App. 303 (Vet. App. 2007) (adequacy of VA examination and rationale)
- Jandreau v. Nicholson, 492 F.3d 1372 (Fed. Cir. 2007) (lay evidence competency limits)
- Buchanan v. Nicholson, 451 F.3d 1331 (Fed. Cir. 2006) (service-connection elements)
- Hickson v. West, 12 Vet. App. 247 (Vet. App. 1999) (service connection requirements)
- Gilbert v. Derwinski, 1 Vet. App. 49 (Vet. App. 1990) (benefit-of-the-doubt rule)
- Timberlake v. Gober, 14 Vet. App. 122 (Vet. App. 2000) (reasons for rejecting favorable evidence)
- Gonzales v. West, 218 F.3d 1378 (Fed. Cir. 2000) (scope of record discussion required)
- Wells v. Principi, 326 F.3d 1381 (Fed. Cir. 2003) (VA duty to assist and records searches)
- Golz v. Shinseki, 590 F.3d 1317 (Fed. Cir. 2010) (futility when records destroyed)
- Stegall v. West, 11 Vet. App. 268 (Vet. App. 1998) (remand compliance requirement)
- Bryant v. Shinseki, 23 Vet. App. 488 (Vet. App. 2010) (VLJ hearing duties)
