Table 1: lines predicting the inferior limit of the EEA to CCJ

Study/Year of publication

Type

Line §

Starting point

End point

Line extension

Comments

De Almedia et al 2009

17 patients

Nasopalatine line (NPL)

Rhinion*

Most posterior point on the hard palate

Posteriorly and inferiorly until its intersection with the vertebral column

Overestimates the inferior limit

Baird et al 2009

Nine cadaveric specimens

-

Rhinion

Within 3 to 5 mm from the base of the surgical resection

-

Performed on normal cadavers

Aldana et al 2011

Six cadaver specimens

Superior nostril-hard palate line (SN-HP Line)

Superior aspect of the nostril

Anterior border of C1-C2 junction

-

Performed on normal cadavers, underestimates the inferior limit

Aldana et al 2012

Nine cadaver specimens

Naso-axial line (NAxL)

Midpoint of the distance from rhinion to the anterior nasal spine of the maxillary bone

Tip of the posterior nasal spine of palatine bone

Posteriorly and inferiorly until its intersection with the vertebral column

Performed on normal cadavers, overestimates the lower limits

La Corte et al 2015

Six patients (4 adult and 2 pediatric)

Rhinopalatine Line (RPL)

The two-thirds point of the distance from the rhinion to the anterior nasal spine of the maxillary bone

Posterior nasal spine of the palatine bone

Posteriorly and inferiorly until its intersection with the vertebral column

 

* The most inferior point on the nasal bone

§ All lines were taken in the mid sagittal plane of a computed tomography (CT) scan