Novel index to estimate the cephalocaudal extent of the excavation in pectus excavatum: The Titanic index

Topic overview

Novel CT-based Titanic index quantifies cephalocaudal extent of pectus excavatum deformity, complementing traditional Haller and Correction indices. In 78-patient cohort, TI >66.5% predicted need for >2 implants during MIRPE with 93% sensitivity and 92% specificity, offering improved surgical planning for thoracic remodeling.

Key takeaways

The Titanic index (TI) measures cephalocaudal extent of pectus excavatum, complementing traditional Haller and Correction indices.
TI >66.5% predicts need for >2 implants during MIRPE with 93% sensitivity and 92% specificity.
TI outperforms Haller and Correction indices in predicting surgical complexity for pectus excavatum repair.
Mean TI of 37% in cohort; patients requiring >2 implants were older with worse thoracic indices.
TI aids preoperative planning by quantifying vertical extent of deformity beyond point of maximum excavation.

Keywords

Pectus Excavatum Titanic Index Mirpe Thoracic Imaging Pediatric Thoracic Surgery Chest Wall Deformity Surgical Planning

Hashtags

#PectusExcavatum #PediatricSurgery #ChestWallDeformity #MIRPE

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