Спосіб математичного обчислення ступеню стенозу хоан математикою фракталу у рамках програм тривимірного моделювання в світлі доказової медицини

Abstract

As control estimation of the treatment efficacy patient with adenoiditis, as discussion about indication to surgical treatment of adenoids, which depend on stage of nasopharyngeal tonsill hypertrophy, can be verificated by endovideoscopy. For mathemathical identification relation between nasopharyngeal tonsill and choanae square or was proposed sequence of the geometrical and mathemathical procedures. Theese sequence was enable to effort an opportunity to calculate relation contourated square free and occluded by nasopharyngeal tonsill parts of the choanae.11 children with adenoiditis and 23 with nasopharyngeal tonsill hypertrophy were clinical and videoendoscopical investigated. Created avi-videofilm were convertated into endoscopic jpeg-frames. Endoscopic pictures were contourated by system 3D modeling. Contourated free and occluded by nasopharyngeal tonsill parts of the choanae were taked account with precision of 0,1 мм by methods of the fractal analysis with estimation of the Hausdorf dimensionality. Sequence of the mathemathical and geometrical procedures which was created to enable to effort an opportunity calculate with precision of 0,1 мм efficacy of the treatment adenoiditis and determine indication to surgical treatment of adenoids.