BVA9503180 DOCKET NO. 93-03 747 ) DATE ) ) On appeal from the decision of the Department of Veterans Affairs Regional Office in New Orleans, Louisiana THE ISSUE Entitlement to service connection for bilateral defective hearing. REPRESENTATION Appellant represented by: Veterans of Foreign Wars of the United States INTRODUCTION The veteran served on active duty from July 1953 to June 1957. This appeal arises from a July 1991 rating action of the New Orleans, Louisiana Regional Office (RO) of the Department of Veterans Affairs (VA) which denied service connection for bilateral defective hearing. The issue of entitlement to service connection for tinnitus, which was the subject of a supplemental statement of the case in April 1992, was dropped by the veteran and his representative as an issue on appeal. The case was administratively remanded by the Board (by letter) in May 1993 so that the veteran could have a Travel Board hearing. He failed to report for such a hearing, scheduled in August 1993. The case has been returned to the Board for a decision as to the issue on appeal. REMAND The enlistment examination revealed no pertinent defects. Service medical records reveal that in March 1957 the veteran complained of having distorted hearing for the past month associated with a headache over the right eye. He reported that he was a musician, and that after a sound is struck he continues to have a vibration, even though there is no sound. He said that these symptoms usually begin about 40 minutes following a practice session. He noted that pain will develop into a headache over the eye. Examination revealed no evidence of infection in the ears. The veteran was scheduled for an audiogram. However, service medical records do not reveal that the audiogram was performed. In July 1992, the veteran indicated in a letter that the recommended audiogram was not done in service. The service discharge examination reported normal scores on the whispered and spoken voice tests, but an audiogram was not done at this time either. A private audiometric examination in March 1992 revealed a bilateral hearing loss with notation that the thresholds were slightly improved over the last audiometric testing in June 1987. The case is remanded for the following action: 1. The veteran should be asked to furnish a report of all audiometric testing and otological examinations he has had since discharge from service. The RO should then obtain a report of the audiometric testing performed in June 1987 at the offices of L. J. Donna, M.D., any earlier audiometric reports which this physician might have, and any additional records of audiometric testing and ear examinations reported by the veteran. 2. The veteran should be accorded a VA otological examination with audiometric testing to ascertain the nature and extent of any current hearing loss. The physician conducting the otological examination should review all assembled service and post service medical records and express an opinion as to whether any current hearing loss is related to the symptoms of distorted hearing which the veteran complained of in service, in March 1957. When the above development has been completed the case should be reviewed by the RO. If the benefit appealed for is not granted, the veteran and his representative should be furnished with a supplemental statement of the case and afforded a reasonable time to reply thereto. Thereafter, the case should be returned to the Board for further appellate consideration if in order. No action is required of the veteran until notified. The purpose of this remand is to procure clarifying data. BRUCE E. HYMAN Member, Board of Veterans' Appeals The Board of Veterans' Appeals Administrative Procedures Improvement Act, Pub. L. No. 103-271, § 6, 108 Stat. 740, ___ (1994), permits a proceeding instituted before the Board to be assigned to an individual member of the Board for a determination. This proceeding has been assigned to an individual member of the Board. Under 38 U.S.C.A. § 7252 (West 1991), only a decision of the Board of Veterans' Appeals is appealable to the United States Court of Veterans Appeals. This remand is in the nature of a preliminary order and does not constitute a decision of the Board on the merits of your appeal. 38 C.F.R. § 20.1100(b) (1993).