Hérin F, Vaysse C, Savall F, Fernandez-Delpech V, Telmon N
Service de maladies professionnelles et environnementales, CHU Toulouse-Purpan, place du Docteur-Baylac, TSA 40031, 31059 Toulouse cedex 9, France.
Département de chirurgie gynécologique oncologique, centre hospitalier universitaire de Toulouse, institut universitaire du cancer de Toulouse-Oncopôle, 1, avenue Irène-Joliot-Curie, 31059 Toulouse cedex 9, France.
Gynecol Obstet Fertil Senol. 2021 Sep;49(9):698-702. doi: 10.1016/j.gofs.2021.04.007. Epub 2021 Apr 29.
Breast damage is likely to result in compensation according to the principle of full compensation. However, breast damage, little covered in the scales usually used, requires a specific methodology. The quantification of functional prejudice must be done with regard to the age of the victim and must take into account the possible repercussions on mobility (shoulder and/or spine) as well as the psychological repercussions. Whether or not the nipple and areola are preserved should be described. Temporary aesthetic damage (before breast reconstruction) must be assessed on the basis of objective elements, its duration and quantification on a scale of 0 to 7. Permanent aesthetic damage takes into account scars, deformities, amputations and quality of the prosthesis. A new scale for evaluating permanent aesthetic damage is proposed. Sexual prejudice must take into account an impairment of the pleasure related to sexuality and its erotic function, in line with the concept of sexual health. However, even after reconstruction, the areas of quality of sexual life and sexual satisfaction often remain affected. An exploration using standardized questions from validated questionnaires such as BREAST-Q can be useful. The sequelae linked to the damage on a breast can also lead the woman to limit certain pleasure activities, in particular because of psychological discomfort or even be the cause of a loss of opportunity to carry out a family's life plan.
根据全额赔偿原则，乳房损伤可能会获得赔偿。然而，乳房损伤在通常使用的量表中很少涉及，需要一种特定的方法。功能损害的量化必须考虑受害者的年龄，并且必须考虑对行动能力（肩部和/或脊柱）的可能影响以及心理影响。应描述乳头和乳晕是否保留。临时美学损害（在乳房重建之前）必须根据客观因素、其持续时间以及在0至7的量表上进行量化来评估。永久性美学损害要考虑疤痕、畸形、切除以及假体质量。提出了一种评估永久性美学损害的新量表。性损害必须考虑与性相关的愉悦及其性功能的损害，这与性健康的概念一致。然而，即使在重建之后，性生活质量和性满意度方面往往仍然受到影响。使用来自经过验证的问卷（如BREAST-Q）中的标准化问题进行探索可能会有所帮助。与乳房损伤相关的后遗症也可能导致女性限制某些愉悦活动，特别是由于心理不适，甚至可能成为导致无法实施家庭生活计划的机会丧失的原因。
