Manual of the Medical Department (NAVMED P-117): Chapter 15: Medical Examinations: Physical Standards

15-35 Nose and Sinuses

Department of the Navy
Bureau of Medicine and Surgery

(1)The causes fa rejection are:

(a) Allergic manifestations

(1) Chronic atrophic rhinitis
(2) Hay fever, if severe; and if not controllable by antihistamines or by desensitization, or both.

(b) Choana, atresia, u stenosis of, if symptomatic.

(c) Nasal septum, perforation of:

(1) Associated with the interference of function, ulceration or crusting, and when the result of organic disease.
(2) If progressive.
(3) If respiration is accompanied by a whistling sound.

(d) Sinusitis, acute

(e) Sinusitis, chronic, when more than mild:

(1) Evidenced by any of the following: Chronic purulent nasal discharge, large nasal polyps, hyperplastic changes of the nasal tissues, or symptoms requiring frequent medical attention.
(2) Confirmed by transillumination or x-ray examination or both.