Shanghai Journal of Stomatology ›› 2016, Vol. 25 ›› Issue (6): 744-747.

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Chinese expert consensus on the use of topical timolol maleate treatment of infantile hemangiomas

ZHENG Jia-wei1,WANG Xu-kai2, JIANG Cheng-hong3, QIN Zhong-ping4, FAN Xin-dong5, LI Kai6, YANG Yao-wu7, HUO Ran8, LIU Shao-hua9,ZHAO Ji-hong10, WANG Xiao-yong11, ZHOU De-kai12, LEI Shao-rong13   

  1. 1.Department of Oral and Maxillofacial Surgery, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine. Shanghai 200011;
    2.Department of Oral and Maxillofacial Surgery, School of Stomatology, China Medical University; Liaoning Institute of Dental Research. Shenyang 110001, Liaoning Province;
    3.Department of Plastic and Reconstructive Surgery, Fujian Medical University, Union Hospital. Fuzhou 350001, Fujian Province;
    4.Special Department of Hemangioma, Tumor Hospital of Linyi City. Linyi 276001, Shandong Province;
    5.Department of Intervention Therapy, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011;
    6.Department of Pediatric Surgery, Children's Hospital of Fudan University. Shanghai 201102;
    7.Department of Head and Neck Tumor Surgery, School of Stomatology, The Fourth Military Medical University. Xi'an 710032, Shannxi Province;
    8.Department of Aesthetic Plastic and Burn Surgery, Shandong Provincial Hospital, Shandong University. Jinan 250021,Shandong Province;
    10.Department of Oral and Maxillofacial Surgery, Qilu Hospital, Shandong University. Jinan 250012,Shandong Province;
    10.Department of Oral Surgery, School of Stomatology, Wuhan University. Wuhan 430079, Hubei Province;
    11.Department of Infantile Hemangioma, Shanghai Cao'an Hospital. Shanghai 201804;12.Department of Infantile Hemangioma, Gastrointestinal and Neonatal Surgery, Children's Hospital of Chongqing Medical University. Chongqing 400014; 13.Department of Plastic and Esthetic Surgery, Xiangya Hospital Central South University. Changsha 410008, Hunan Province, China
  • Received:2016-07-02 Online:2016-12-25 Published:2016-12-29

Abstract: [Summary] Non-selective β-blocker propranolol has been proved by FDA as the first-line agent for infantile hemangioma (IH) with dramatic response. To reduce the side effects caused by systemic administration of propranolol, timolol maleate treatment has been increasingly used as an alternative to systemic β-blockers and watchful waiting for many IH patients in recent years. However, the appropriate indications, drug dosage, dosing regimen, time for initiation, optimal duration, monitoring for side effects still remains controversial. To standardize the use of topical timolol in treating IH, avoid overtreatment or under-treatment, as well as minimize complications, a Chinese expert consensus on the use of topical timolol treatment of IH has been approved and written by a multidisciplinary experts group based on an up-to-date literature review and repeated discussion, which can be used to reduce inappropriate variations in clinical practice and to promote the delivery of high quality, evidence-based health care for IH patients.

Key words: Timolol maleate, Infantile hemangioma, Expert consensus

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