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[2] [3] Mastoiditis is usually caused by untreated acute otitis media (middle ear infection) and used to be a leading cause of child mortality. With the development of antibiotics, however, mastoiditis has become quite rare in developed countries where surgical treatment is now much less frequent and more conservative, unlike former times. [2]
The constellation of symptoms was first described as a consequence of severe, advanced ear infection which has spread to a central portion of the temporal bone of the skull. This type of presentation was common prior to development of antibiotic treatments, and is now a rare complication.
A mastoidectomy is a procedure performed to remove the mastoid air cells [1] near the middle ear. The procedure is part of the treatment for mastoiditis, chronic suppurative otitis media or cholesteatoma. [2] Additionally, it is sometimes performed as part of other procedures, such as cochlear implants, [3] or to access the middle ear.
The Department of Health claims stated that by concentrating on a set type of procedures they are able to streamline the patient care pathway, [5] resulting in an improved patient experience [6] and help the NHS to quickly meet waiting time targets; [7] however, the majority of independent research conducted to date has contradicted these claims.
The hospital was founded at 278 Vauxhall Bridge Road as the Western Hospital for Fistula, Piles and other Diseases of the Rectum in 1884. [5] In 1886 it changed its name in honour of Major-General Charles Gordon, also known as Gordon of Khartoum.
Bezold's abscess is an abscess deep to the sternocleidomastoid muscle where pus from mastoiditis erodes through the cortex of the mastoid part of the temporal bone, medial to the attachment of sternocleidomastoid, extends into the infratemporal fossa, and deep to the investing layer of the deep cervical fascia.
The hospital was founded as The North London Hospital for Consumption and Diseases of the Chest in a mansion in Hampstead High Street in 1860. [1] A central London out-patients department opened in the Tottenham Court Road in 1861. [1]
It was named by the Health Service Journal as one of the top hundred NHS trusts to work for in 2015. At that time it had 1101 full-time equivalent staff and a sickness absence rate of 3.23%. 93% of staff recommend it as a place for treatment and 71% recommended it as a place to work.