Complete surgical removal of larynx (voice box) typically for cancer treatment, resulting in permanent stoma for breathing. Loss of natural voice requiring alternative communication (esophageal speech, tracheoesophageal voice prosthesis, electrolarynx). Permanent separation of airway from digestive tract. Significant lifestyle changes including inability to smell normally, restrictions with water activities.
Permanent 100% rating for total laryngectomy due to complete loss of natural voice, permanent stoma, and profound functional impact
Medical Evidence
Current diagnosis from a qualified healthcare provider, medical records documenting symptoms and treatment history
Service Connection
Evidence linking your condition to military service (service treatment records, incident reports, or nexus letter)
Personal Statement
Your detailed account of how laryngectomy, total affects your daily life and when symptoms began
Lay Evidence
Buddy letters from fellow service members or family who can corroborate your symptoms
During your Compensation & Pension exam for laryngectomy, total, examiners will assess your symptoms against the rating criteria above.
Be specific: Describe your worst day, not your average day
Document everything: Bring copies of all medical records and evidence
Functional impact: Explain how symptoms affect work, sleep, and daily activities
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