"Novel index to estimate the cephalocaudal extent of the excavation in pectus excavatum: The Titanic index"
Bellía-Munzón et al, Journal of Pediatric Surgery
https://www.jpedsurg.org/article/S0022-3468(22)00783-7/fulltext
Video: Ellen Encisco
Type: video · 1 min · posted 2023-05-03 Canonical: https://library.globalcastmd.com/watch/novel-index-to-estimate-the-cephalocaudal-extent-of-the-excavation-in-pectus-excavatum-jps-article-6617 ## Chapters - [0:00](https://library.globalcastmd.com/watch/novel-index-to-estimate-the-cephalocaudal-extent-of-the-excavation-in-pectus-excavatum-jps-article-6617?t=0) Introduction of the Titanic Index for Pectus Excavatum ## Statements - "The Haller index and correction index are the currently primarily used indices for pectus excavatum and tell us about the severity of the deformity." — Ellen Encisco (clinical) [0:11](https://library.globalcastmd.com/watch/novel-index-to-estimate-the-cephalocaudal-extent-of-the-excavation-in-pectus-excavatum-jps-article-6617?t=11) - "The Titanic index takes into account the extent of the pectus excavatum deformity." — Ellen Encisco (clinical) [0:19](https://library.globalcastmd.com/watch/novel-index-to-estimate-the-cephalocaudal-extent-of-the-excavation-in-pectus-excavatum-jps-article-6617?t=19) - "The Titanic index is calculated as the percentage of the sternum that lies behind the anterior costal line as seen on CT scans." — Ellen Encisco (clinical) [0:25](https://library.globalcastmd.com/watch/novel-index-to-estimate-the-cephalocaudal-extent-of-the-excavation-in-pectus-excavatum-jps-article-6617?t=25) - "The study was a retrospective review of patients at an institution in Argentina who had undergone minimally invasive repair of pectus excavatum." — Ellen Encisco (clinical) [0:35](https://library.globalcastmd.com/watch/novel-index-to-estimate-the-cephalocaudal-extent-of-the-excavation-in-pectus-excavatum-jps-article-6617?t=35) - "The study found a weak correlation between the Titanic index and the other indices (Haller and correction index)." — Ellen Encisco (clinical) [0:46](https://library.globalcastmd.com/watch/novel-index-to-estimate-the-cephalocaudal-extent-of-the-excavation-in-pectus-excavatum-jps-article-6617?t=46) - "The Titanic index might be more helpful for helping determine how many bars a patient is going to need for repair." — Ellen Encisco (clinical) [0:46](https://library.globalcastmd.com/watch/novel-index-to-estimate-the-cephalocaudal-extent-of-the-excavation-in-pectus-excavatum-jps-article-6617?t=46) - "The threshold established was 66.5%, meaning that patients with a higher Titanic index than that probably needed more than 2 bars." — Ellen Encisco (clinical) [0:57](https://library.globalcastmd.com/watch/novel-index-to-estimate-the-cephalocaudal-extent-of-the-excavation-in-pectus-excavatum-jps-article-6617?t=57) - "More study is needed for this index." — Ellen Encisco (opinion) [1:06](https://library.globalcastmd.com/watch/novel-index-to-estimate-the-cephalocaudal-extent-of-the-excavation-in-pectus-excavatum-jps-article-6617?t=66) ## Transcript Hi, I'm Ellen Incisco at Cincinnati Children's, and here's an article you should know about. In this article, the authors introduced a new index for patients with pectus excavatum. The indices that are currently primarily used are the Haller index and the correction index, and they tell us about the severity of the deformity. This new index, or the Titanic index as they're calling it, takes into account the extent of the deformity. Here's the calculation for how to calculate it, but essentially it's the percentage of the sternum that lies behind the anterior costal line as seen on CT scans. So the authors did a retrospective review of patients at their institution in Argentina who had undergone minimally invasive repair of pectus excavatum and calculated all these indices. They found a weak correlation between the Titanic index and the other indices, but also they found the Titanic index might be more helpful for helping determine. And how many bars a patient's going to need for repair. The threshold they established here was 66.5%, meaning that patients with a higher titanic index than that probably needed more than 2 bars. More study is needed for this index, but let us know if you might incorporate it into your practice in the future and stay tuned for more articles you should know about. --- Not medical advice · citation policy: https://library.globalcastmd.com/ai