Background The coronavirus disease 2019 (COVID-19) pandemic led to far-reaching restrictions of social and professional life, affecting societies all over the world. To contain the virus, medical schools had to restructure their curriculum by switching to online learning. However, only few medical schools had implemented such novel learning concepts. We aimed to evaluate students’ attitudes to online learning to provide a broad scientific basis to guide future development of medical education. Methods Overall, 3286 medical students from 12 different countries participated in this cross-sectional, web-based study investigating various aspects of online learning in medical education. On a 7-point Likert scale, participants rated the online learning situation during the pandemic at their medical schools, technical and social aspects, and the current and future role of online learning in medical education. Results The majority of medical schools managed the rapid switch to online learning (78%) and most students were satisfied with the quantity (67%) and quality (62%) of the courses. Online learning provided greater flexibility (84%) and led to unchanged or even higher attendance of courses (70%). Possible downsides included motivational problems (42%), insufficient possibilities for interaction with fellow students (67%) and thus the risk of social isolation (64%). The vast majority felt comfortable using the software solutions (80%). Most were convinced that medical education lags behind current capabilities regarding online learning (78%) and estimated the proportion of online learning before the pandemic at only 14%. In order to improve the current curriculum, they wish for a more balanced ratio with at least 40% of online teaching compared to on-site teaching. Conclusion This study demonstrates the positive attitude of medical students towards online learning. Furthermore, it reveals a considerable discrepancy between what students demand and what the curriculum offers. Thus, the COVID-19 pandemic might be the long-awaited catalyst for a new “online era” in medical education.

No abstract

No abstract

Introduction: Eagle syndrome is a rare condition caused by elongation of the styloid process or ossification of the stylohyoid ligament. It's named after Watt W. Eagle an otolaryngologist at Duke university, who described the first case in 1937. In the clinical presentation, we found different signs of syndrome -dysphagia, odynophagia, otalgia, foreign body sensation, facial pain, trismus, headache, increased salivation, and/or voice changes. The diagnosis of Eagle's syndrome is based on an optimal medical history and physical examination. The most accurate imaging technique is the CT-scan. 3-D CT reconstruction of the neck specify the size of length of the styloid process (> 3 mm) and the ossified stylohyoid ligament. The treatment includes conservative and surgical approach. Material and methods: We present a 65-years old female, in a good health condition, with the following complains: difficulty swallowing, foreign body sensation in the throat. The patient states that she had palpated cartilage in the right side in the area of the tonsillar fossa. The physical examination revealed no abnormal findings, but palpable right styloid process. We performed CT and 3-D CT reconstruction, which showed an elongation of styloid process on right side. Results: The patient refused the surgical treatment. The conservative therapy includes the nonsteroidal anti-inflammatory medications. Conclusion: Eagle's syndrome is a rare condition with vast differential diagnosis, vague symptomatology and ambiguous incidence and etiology. When we suggest the syndrome, the CT scan is the imaging method of choice for diagnosis. It shows the measurement of styloid process, the position in the neurovascular complex and the prepositions of damages. The treatment can be surgical or non-surgical depend on the size, position and surgical risk of the approach.

Introduction: Osteomas are benign tumors, with slow growth and a long period of asymptomatic development. The paranasal sinuses are often involved, the most affected one being the frontal sinus, followed by the ethmoid, maxillary and sphenoid sinuses. Etiologically, theories of inflammatory, traumatic, genetic genesis should be introduced, but the issue still remains unclear. The diagnosis is very often accidental, when performing radiography or computed tomography (CT). Clinically manifested osteomas with headache, facial deformity, mucocele, intracranial complications are subject to timely surgical intervention. The choice of surgical approach depends on the size of the osteoma and the location, as well as on the professional and technical capabilities given the more specific requirements for the instrument. Materials and methods:We present a clinical case of a 28-year-old man with complaints of headache in the frontal facial area. An X-ray revealed an osteoma in the area of the left frontal sinus, involving more than 2/3 of its cavity. CT was performed and a discussion of the possibilities of endoscopic endonasal surgery, given the borderline "giant" osteoma with a diagonal size of about 2.75 cm (> 3 cm). An endoscopic endonasal approach was applied. Results: Endoscopic endonasal surgery was performed. The chosen surgical approach was Draf 3 type frontotomy with osteoma extirpation. In early postoperative period-5 days, there aren't registreted complications. The patient was followed endoscopically in the second week, first month, sixth month. A month later, a control CT scan was performed with data on residuality on the anterior wall of the frontal sinus, without drainage disturbance. Clinically, the patient has no complaints. There are no late postoperative complications. Conclusion: Symptomatic osteomas of the paranasal sinuses require timely surgery. The choice of surgical approach (open with osteoplastic flap, endonasal or combined) depends on the anatomical location, the size of the tumor, as well as the experience of the surgeon and the technical capabilities of the hospital. Endoscopic endonasal surgery is popular, with highly valued capabilities over time, but in "giant" osteomas it is debatable given the risk of residuality.