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A 21-year-old member asked:

my child has pandas. should he have his tonsils removed?

2 doctor answers12 doctors weighed in
Dr. Russell Faust
Dr. Russell Faustanswered
ENT and Head and Neck Surgery 29 years experience
Uncertain: The nih does not recommend tonsillectomy for treatment of pandas; there is no clear evidence from clinical trials that it helps. On the other hand, there are many, many reports on sites like pandas foundation that tonsillectomy was the cure for their children. In my practice, I have seen some remarkable improvements following tonsillectomy, but again, these are "anecdotal". Ask your doc.
Dr. Robert Knox
Dr. Robert Knox commented
ENT and Head and Neck Surgery 37 years experience
if high antibody titters are part of your child's PANDA, I feel tonsillectomy is indicated to lessen the exposure to bacterial which live in the tonsils. However, once PANDAS has occurred, the immune system has already been stimulated.
Mar 4, 2012
Dr. Robert Knox
ENT and Head and Neck Surgery 37 years experience
PANDAS tonsillectomy: If recurrent strep throat has been part of the problem or anti-streptolysis antibody levels are high, yes, tonsillecotmy is often performed.

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