Background: Tonsillectomy is a common procedure in otolaryngology and currently, there are limited multivariable analyses regarding factors associated with secondary post-tonsillectomy haemorrhage (PTH) in an Australian metropolitan setting. This study aims to provide further analysis of various factors associated with secondary PTH in an Australian metropolitan health service. Methods: A retrospective review was conducted for all elective tonsillectomies performed at Western Health, Australia between December 2011 and December 2015. Multivariable logistic regression analyses were performed. Results: A total of 1,257 tonsillectomies were included. Secondary PTH was observed in 87 (6.9%) patients with 35 (2.8%) returning to theatre. No differences in PTH were found between surgical techniques, month of tonsillectomy, same day discharge and surgeon experience. Multivariable analysis showed that patients receiving ibuprofen (OR =2.07; 95% CI =1.08, 3.99), as well as a 1-year increase in age (OR =1.03; 95% CI =1.01, 1.05) were associated with significantly increased odds of PTH. Conclusions: Tonsillectomy is a common procedure in otolaryngology and this study provides updated local data for a more accurate comparison of surgical outcome.

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Introduction. Solitary fibrous tumours (SFT) of the parotid gland are a very rare group of spindle-cell tumours with only 28 cases reported in the literature. This review aims to report an additional case of parotid SFT and provide a review of all reported cases of this rare condition. Case Presentation. A 26-year-old male presented a 3 cm well-demarcated, slowly enlarging mass which was completely excised, revealing histological and immunohistochemical features of SFT. Discussion. Reviews of all reported cases suggest that histology and immunohistochemistry are paramount in the diagnosis of SFT. These features, along with clinical presentation and management of this rare condition, will be discussed.