Talk:Cleft lip and cleft palate

Wiki Education Foundation-supported course assignment

This article was the subject of a Wiki Education Foundation-supported course assignment, between 1 July 2019 and 23 August 2019. Further details are available on the course page. Student editor(s): Niamh.ogrady, Jdinger123, Arcmelodia, JasperT888.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 17:48, 16 January 2022 (UTC)

Syndromes causing Cleft Lip

Can someone please add DiGeorge (VCFS) Syndrome to the list? Thanks. — Preceding unsigned comment added by As.ashwinz (talk • contribs) 07:55, 13 September 2015 (UTC)

Percentage of babies born with cleft lip

The first section in the article states that about 1 in 700 babies is born with a cleft lip/palate. A few sentences later, the article states that one in 600 to 800 babies is born with a cleft lip/palate. One of these two redundant sentences needs to be removed, depending on whether researchers have agreed that the figure is about 1 in 700, or whether it's still in dispute. —Preceding unsigned comment added by 69.117.85.104 (talk) 02:14, 15 February 2010 (UTC)

• Hi, as to the inconsistencies in the above stats, here is the link to the most current stats I could find for the U.S. from a reliable source: http://www.nidcr.nih.gov/DataStatistics/FindDataByTopic/CraniofacialBirthDefects/PrevalenceCleft+LipCleftPalate.htm

I could find current stats for the province of Alberta, Canada - but I do not think these specific details add value to understanding the prevalence of the condition ... let me know what the editors of this article think.--4tiggy (talk) 18:42, 5 August 2011 (UTC)

Error in pre surgical devices?

I beleive there is an error in the section Pre-Surgical Devices for Cleft Lip Treatment. It states "Nasoalveolar molding followed by surgery can reduce long-term nasal symmetry among patients with complete unilateral cleft lip cleft palate patients compared to surgery alone, according to a retrospective cohort study.[13]" From the following information ("significant improvement," etc.), it seems that nasoalveolar moding would INCREASE long-term nasal symmetry (or, alternatively, reduce long-term nasal asymmetry). I am not an expert though and I don't feel like researching it. —Preceding unsigned comment added by 130.101.160.35 (talk) 13:33, 21 July 2009 (UTC)

I think you are correct, the referenced article also states the long-term symmetry is improved and not reduced. I changed the wiki article accordingly. Felsir (talk) 12:27, 30 July 2009 (UTC)

Backwards infringement

An earlier version of this article has been substantially reproduced under claim of full copyright at http://hubpages.com/hub/about_cleft_palate. The individual who created that article, "Spuds", has (according to his profile) been a member for three years as of this writing. Therefor he could not have created that article before 2007, and a review of the condition of the article in December 2006, here, makes apparent that the content was here first. Any significant contributors of that content may complain to the webhost if they object to the use of this content out of license. See http://hubpages.com/help/user_agreement, section 16. Wikipedia:Mirrors and forks has some suggestions for how to approach websites about non-compliance, if editors wish to pursue this. --Moonriddengirl ^(talk) 11:17, 3 September 2010 (UTC)

hairlip and cleft palate

It's unclear to me from this article what a "hairlip" is in a technical sense and how it differs from a cleft palate, which is what I came here to learn. The proper term is "harelip" and is a derrogatory term that began as a reference to the lip looking similar to that of a rabbit. —Preceding unsigned comment added by 24.117.32.71 (talk) 15:42, 4 July 2009 (UTC)

"hairlip" is a degenerative term to describe a cleft lip. A cleft lip is a gap in the (upper)lip tissue, while cleft palate is a gap in the roof of the mouth. So- "hairlip" is a gap in the lip tissue. The difference is the location of the gap. Felsir (talk) 12:22, 30 July 2009 (UTC)

As a parent of a child born with a cleft lip and palate I find the tern 'harelip' to refer to the pulling of the lip towards the nose as a result of difficult or old surgery techniques resulting in a hare or rabbit lip nick. Corrective surgery has improved and currently many cleft lip corrections do no result in this pull. This term is very offensive in medically incorrect.

From my brief search, it appears that hairlip and cleft lip refer to the same condition. Hairlip and hair lip also redirect here. So I changed the unsourced sentence It has sometimes colloquially been equated with the phrase harelip, but this is used incorrectly, as that term refers to the pulling of the lip towards the nose. to An older term is harelip, based on the similarity to the cleft in the lip of a hare. (The source is here but didn't add it as I don't thinks it's a "reliable source.") If there is evidence for them being different conditions, please correct, with source(s). Thanks. --Chriswaterguy talk 13:30, 13 November 2010 (UTC)

references flag

THis article was flagged as needing better citations in 2009. Looking at it now, it seems like the flag might be unwarranted? Could some one specify the offending items here so that we can address them? Benjamin Good (talk) 16:29, 13 April 2011 (UTC)

It looks like there are several places where someone marked citations needed. I propose adding the following articles as references for the microform cleft section: Chou E, Ko EW, Chen PK, Yu JC, Chang SC (2009) "Microform or incomplete medican cleft lip: strategy and management". Plastic and Reconstructive Surgery. 124 (6): 437e-438e. Kim EK, Khang SK, Lee TJ, Kim TG (2010). "Clinical features of the microform cleft lip and the ultrastructural characteristics of the orbicularis oris muscle". Cleft Palate Craniofac. J. 47 (3): 297-302. Yuzuriha S, Mulliken JB (2008) "Minor-form, microform, and mini-microform cleft lip: anatomical features, operative techniques, and revisions". Plastic and Reconstructive Surgery. 122 (5): 1485-1493). I will look for other appropriate citations. CleftCGC (talk) 21:11, 14 April 2011 (UTC)

Joaquin Phoenix

Should be in the section of notable people with Cleft lip and palate. Ros Pratch101.161.25.79 (talk) 05:27, 27 March 2013 (UTC)

He doesn't have a cleft lip and palate, he has something called a microcleft. Totorotroll (talk) 14:21, 28 July 2013 (UTC)

Thoughts on lead: article box indicates that article may be too technical and could use suggestions to improve readability

In the lead section, I wonder if a few minor syntax edits would make this article lead more readable. For example: "are variations of a type of clefting congenital deformity caused by abnormal facial development during gestation" ... could read ... "are congenital deformities caused during gestation"; "A cleft is a fissure or opening—a gap. It is the non-fusion of the body's natural structures that form before birth." ... could read ... A cleft is a fissure or opening of the body's anatomical structures that fails to fuse or join before birth."--4tiggy (talk) 19:00, 5 August 2011 (UTC)

SmileTrain

I don't think it mentioned anything about SmileTrain, the world's most revolutionary company. also, I guess that could be mentioned in a Wiki page link, and link to the official site under external link, and I Think you should PLEASE REOVE THE FREAKING GRAPHIC PICTURES!!!!! --John Smith 16:16, 8 January 2012 (UTC)

Disagree. The images are important to show what cleft lip and palate is.--Doc James (talk · contribs · email) 19:05, 8 January 2012 (UTC)

Factual accuracy regarding cleft lip/palate late term abortions in the UK

The section "Controversy" reads:

"British clergywoman Joanna Jepson, who suffered from a congenital jaw deformity herself (not a cleft lip or palate as is sometimes reported), has started legal action to stop the practice in the United Kingdom[55][56] (although in the United Kingdom, such an abortion would not be permitted under the 1967 Abortion Act, because a cleft lip and palate is not considered a serious handicap)."

This is incorrect. Actually Joanna Jepson lost her case which involved the abortion of a 28 weeks fetus for cleft; the Crown Prosecution decided to not prosecute the two doctors who authorized the abortion arguing that they believed in good faith that the child would suffer of a "serius handicap" (abortions after 24 weeks in the UK are allowed if the child would have a "serious handicap").[1]

The current guidelines from the Royal College of Obstetricians and Gynaecologists (RCOG) state that "a strict definition [of what constitutes a serious handicap] is impractical"; they address the cleft issue and state that is up to the doctors to decide on a case by case basis if the abortion is warranted. [2]Skydeepblue (talk) 09:03, 13 July 2012 (UTC)

Subjective, uncited comments

The section "environment" reads: Other environmental factors that have been studied include: seasonal causes (such as pesticide exposure); maternal diet and vitamin intake; retinoids — which are members of the vitamin A family; anticonvulsant drugs; alcohol; cigarette use; nitrate compounds; organic solvents; parental exposure to lead; and illegal drugs (cocaine, crack cocaine, heroin, etc.).

Being under the heading 'Causes/environmental' this implies there is a link between these factors and cleft palate/lip but no studies are cited or their results; the whole paragraph is as bogus as mentioning all the factors that have not been studied; indeed if it is to be kept then such a paragraph should also be added. And the 'illegal drugs' point; does this include all drugs classified by any government as illegal? Or just the ones mentioned and 'etc' whatever that means? Adamgpope (talk) 22:19, 19 August 2012 (UTC)

Edit request on 6 November 2012

We would like to add a paragraph about the nose deformities in cleft lip/palate patients. We have written about the nasal deformities in uni- and bilateral clefts and we described the procedures which can recover the nose. We have used reliable sources, which include literature from the Plastic Surgery department.

Should we copy the hole text in here or could we add it ourselves in some way, if it's accepted? We don't exactly know how this works..

This is the text we would like to add: [Edited by User:Nathan Johnson to remove the large amount of text and replace with a link to user's sandbox.]

Text available at User:Danielleaniska/sandbox

Danielleaniska (talk) 13:49, 6 November 2012 (UTC)

Since this page is semi-protected, please paste the requested text below and re-activate this edit request when you do so. An auto-confirmed user will check to see whether or not the edit is appropriate. Please note that any text added to this article must conform to the policies on verifiability and neutral point-of-view. —KuyaBriBri^Talk 15:17, 6 November 2012 (UTC)

Whatever its merits or failings, the proposed text strikes me as overly technical and overly long. Rivertorch (talk) 07:46, 9 November 2012 (UTC)

I'm marking this request as answered again, not because there isn't good material to add in the request, but because there is too much information and it's overly technical nature. Before this gets added, it will need to be significantly reduced and simplified. Thank you for your good work on this. If you need help on what needs to be done to your sandbox to make it suitable for this article, and nobody chimes in on this page, please contact me on my User talk page and I'll try to find someone suitably knowledgeable about medicine that would be willing to help. Thanks. :) -Nathan Johnson (talk) 00:28, 10 November 2012 (UTC)

Edit request on 6 April 2013

Hi I am an ENT surgeon in Oxford. There are some errors on this page "Individuals with cleft also face many middle ear infections which can eventually lead to total hearing loss". Better to say "Individuals with cleft may also face middle ear infections which can also lead to mild to moderate hearing loss"

Children will not develop "total hearing loss" unless they also have a malformed cochlea. Parents may be worried by the incorrect information.

Moodydoody (talk) 16:41, 6 April 2013 (UTC)

Partly done: I have made the wording a bit more ambiguous than your proposal as you have provided no source for your proposal, and the article as previously worded was also unsourced. —KuyaBriBri^Talk 17:28, 9 April 2013 (UTC)

Edit request on 12 April 2013

98.251.189.68 (talk) 21:48, 12 April 2013 (UTC)

In Growth and Development class ( 2013 ) we learned that Cleft lip and palate's developmental defect is "Malformation or Disruption", not deformation as mentioned in Wikipedia opening paragraph ( deformation is when abnormal form, shape, or position of part of the body is caused by mechanical forces; disruption is when morphological defect from extrinsic interference with an originally normal development process; malformation is when morphological defect from intrinsically abnormal developmental process occurs ).

Not done: please provide reliable sources that support the change you want to be made. I don't doubt that what you're saying is medically correct. However, the word "deformity" appears throughout this article, not just in the lede. Without a reliable source cited to make the changes (and the medical expertise to understand what I'm reading), I'm not going to make the change you request. Might I suggest that you register an account and edit Wikipedia for awhile, and you would be able to make edits to articles such as this on your own? --ElHef (Meep?) 05:08, 26 April 2013 (UTC)

Edit Request on 20 October 2013

You may add the following terminology: Cheilopalatoschisis = cleft lip and palate; Cheilognathopalatoschisis = cleft lip and jaw and palate;

The incidence statistic is wrong

The article wrongly states that the 1 in 700 children are born with a cleft lip and palate. The actual statistics are:

Cleft Lip and Palate Incidence

1:1000 Caucasians 1:700 Orientals 1:2500 Black Africans 1:100 Some Native Americans

Source: see Mossey PA et al., Lancet 2009; Dixon MJ et al., Nat Rev Genet 2011

[I am a medical school student] — Preceding unsigned comment added by OR21 (talk • contribs) 17:40, 4 November 2013 (UTC)

Have updated the lead. Doc James (talk · contribs · email) 20:30, 8 May 2015 (UTC)

Semi-protected edit request on 3 May 2015

The "Other Animals" section doesn't make sense in this article. This article is obviously about humans affected. There should be a separate article to talk about this specific condition for animals. (It is also a common offense for people who have this condition being associated with animals.) Few other human conditions have an "Other animals" section -with pictures- included in their article. This article is often read by people who know someone affected (and want to know more about something not easy to talk openly), and the "Other Animal" section is written at the end, like a conclusion. It definitely doesn't make sense,especially the way it is presented, and with dogs pictures with a ... "harelip". Evandres (talk) 22:11, 3 May 2015 (UTC)

Not done: please establish a consensus for this alteration before using the {{edit semi-protected}} template. Though if nobody responds in a couple ideas, go ahead and leave a message on my talk page and I'll take a look at it myself. Kharkiv07^Talk 01:48, 4 May 2015 (UTC)

Addition to the "Works of fiction" section

Shame that the article is protected... this is definitely a dilution of wikipedia's original ethos.

Anyhow, I suggest to those who can edit the article this addition to the "Works of fiction" section:

>> The science fiction novel Dark Eden [3] depicts a society with an extremely high rate of cleft palate, due to inbreeding. — Preceding unsigned comment added by RidiculouslyThrowawayAccount (talk • contribs) 01:11, 11 July 2015 (UTC)

User:RidiculouslyThrowawayAccount were does that source mention the condition? Doc James (talk · contribs · email) 01:33, 11 July 2015 (UTC)

Main article mention of charitable organizations to provide treatment in developing countries

Although the template at the bottom of the page includes a list of some notable organizations that provide treatment for these conditions, it seems like it would be worth at least a sentence somewhere in the article noting that it is a charitable focus and linking to List of cleft lip and palate organisations. Just not sure where such a sentence would make the most sense, maybe at the end of the summary? Phil (talk) 02:32, 23 April 2016 (UTC)

Adjusted

• To match WP:LEAD again which says the lead should be 4 paragraphs
• Moved sections to match layout per WP:MEDMOS
• Adjusted name to match ICD9 / 10 [4][5]

Doc James (talk · contribs · email) 20:45, 15 May 2016 (UTC)

Complications

In this section, there is a sentence that I was unable to parse:

"Gravity feeding can be accomplished by using specialized equipment, such as the Haberman Feeder, or by using a combination of nipples and bottle inserts like the one shown, is commonly used with other infants."

I couldn't work out what the subject of "is" is. If anyone can decipher the sentence, could they rewrite it, perhaps as two sentences? Ricklaman (talk) 04:10, 14 May 2017 (UTC)

Schisis, palatoschisis and cheiloschisis

Schisis (disambiguation) has an entry: "Palatoschisis or cheiloschisis, see cleft lip and palate". While the terms Palatoschisis and cheiloschisis both redirect to the article Cleft lip and cleft palate, there is no mention of either term in the article, or any indication that either is known simply as "schisis". A google search seems to indicate to me that the expression "Schisis " is Dutch. Could an expert in the subject please amend the article to insert (if applicable) the terms palatoschisis, cheiloschisis, and schisis. If this is not applicable, I will delete the entry from Schisis (disambiguation). Shhhnotsoloud (talk) 14:36, 13 August 2017 (UTC)

There being no reply yet, I am proceeding with my assumption that "schisis" is not a legitimate English-language term for cleft lip and palate, so I am deleting the entry at Schisis (disambiguation) (which will cause the disambiguation page to be a speedy deletion candidate). Shhhnotsoloud (talk) 04:06, 11 September 2017 (UTC)

Semi-protected edit request on 19 February 2018

I would like to add information about dental anomalies associated with cleft lip and palate in order to give a better understanding of oral implications.

Resources: . Prevalence of abnormalities in dental structure, position, and eruption pattern in a population of unilateral and bilateral cleft lip and palate patients. Tortora C, Meazzini MC, Garattini G, Brusati R Cleft Palate Craniofac J. 2008 Mar; 45(2):154-62. . Menezes LM, Rizzatto SMD, Azeredo F, Vargas DA. Characteristics and distribution of dental anomalies in a Brazilian cleft population. Rev Odonto Cienc. 2010;25(2):137. doi . Al Jamal GA, Hazza'a AM, Rawashdeh MA. Prevalence of dental anomalies in a population of cleft lip and palate patients. Cleft Palate Craniofac J. 2010;47(4):413–420. doi: 10.1597/08-275.1 Shakira Iqbal (talk) 17:25, 19 February 2018 (UTC)

 Not done: it's not clear what changes you want to be made. Please mention the specific changes in a "change X to Y" format and provide a reliable source if appropriate. Eggishorn (talk) (contrib) 19:36, 20 February 2018 (UTC)

title

I wandered about the article title
while looking for two nosed dogs
and thought it was rather lumpy
something something bathing togs.

Is there a better title, or two articles, or some other solution? cygnis insignis 06:18, 19 November 2018 (UTC)

Classification

Paper says "Proposal for a Universal Structured Form for Description of CL/P Phenotypes"https://www.ncbi.nlm.nih.gov/pubmed/26339868

Which appears to mean it is not yet accepted. Have thus moved to the body. Doc James (talk · contribs · email) 03:01, 21 January 2019 (UTC)

I am not seeing the CDC using it.[6]

Nor the NIH[7]

Doc James (talk · contribs · email) 03:12, 21 January 2019 (UTC)

Update 2019-01-21:

The ICD-10-based code expansion (that corresponds with LAHSHAL and CLAP notations) was developed in collaboration with members from the CDC National Center on Birth Defects and Developmental Disabilities (NCBDDD). It was developed for epidemiologic surveillance and research, and therefore will not be proposed as an official modification for ICD-10-CM, which is maintained separately by the Center on Health Satistics. CLAP notation was incorporated into the International Consortium for Health Outcome Measurement (ICHOM)'s Standard Set of Outcome Measures for Cleft Lip/Palate (https://www.ichom.org/medical-conditions/cleft-lip-palate/), which was developed in accordance with the guidelines of the WHO International Classification of Functioning, Disability, and Health (ICF) (http://www.who.int/classifications/icf/en/). The ICHOM Standard Set advocates for the structured form of description that may be abbreviated using LAHSHAL and/or CLAP notation and may be encoded using the ICD-10-based code expansion. Both LAHSHAL and CLAP notations are commonly used by clinicians in cleft and craniofacial teams.

I have moved the discussion of classification systems to the new "Classification" subsection created by Doc James.

Cavalierex (talk) 05:35, 21 January 2019 (UTC)

Have moved the indepth discussion of classification to its own subpage at Classification of cleft lip and cleft palate

The references supporting most of it is unclear though.

All the souces are from a Allori. It would be good to see other sources used aswell. Doc James (talk · contribs · email) 18:44, 21 January 2019 (UTC)

These are the most up-to-date references available and represent the modern appreciation for classification in CL/P. The lead author has participated in numerous task forces, including the Americleft Surgery group, North Carolina Cleft Outcomes Project / Project CHEER, the ICHOM Standard Set working group, and was a member of the Data Standards Committee at the American Cleft Palate-Craniofacial Association (ACPA). Each manuscript has many people on it. So whatever those groups recommended (even as proposals) represents well-reasoned recommendations. If you like, I may pull some of the references that they cite within these review papers or position papers. I didn't want to add dozens of references on the main CL/P page, but now that you've broken this out separately, I could add some more detail if you think it is warranted.
Thanks!
Cavalierex (talk) 21:13, 21 January 2019 (UTC)

References

Foundations 2 2019, Group 1B Goals

One of the goals for this topic ("Cleft lip and cleft palate") is to add a section on "DiGeorge (VCFS) Syndrome" that is associated with cleft lip. In addition, I would like to consolidate discrepancies by researching more about the errors or false data/information and adding in a more accurate information under various sections. Asher1026 (talk) 21:46, 29 July 2019 (UTC)Asher Jeong

Foundations 2 Group 4b: Proposed Section Edits

I am planning on editing the section on Cleft Palate where it mentions the prevalence of cleft palate worldwide. The reference for the statement made regarding the prevalence of this condition is based on an extrapolation and could be misleading. An improvement on this section would be including an epidemiological study on cleft lip/cleft palate.

Another section that could be improved on is the Cause section, which only mentions syndromic cleft palate without an explanation. An improvement would be including a description of both syndromic and non-syndromic cleft lip/palate with an addition to the genetic causes of cleft lip/palate.

Arcmelodia (talk) 21:55, 30 July 2019 (UTC)

Peer Review

Part 1: All group members should respond to the following prompt, with specific examples:

• Do the group’s edits substantially improve the article as described in the Wikipedia peer review “Guiding framework”?

The edits made were unbiased and from reliable sources. They fit Wikipedia's criteria for neutrality and accuracy.

• Has the group achieved its overall goals for improvement?

The group added information about the epidemiology of cleft lip and cleft palate but did not add information about non-syndromic cleft lip and cleft palate.

Part 2: Does the draft submission reflect a neutral point of view? If not, specify…

Yes this draft improved the neutrality of the article. The group replaced less accurate epidemiological information with statistics from more reliable sources like the CDC.

--Ldolle (talk) 21:02, 5 August 2019 (UTC)

Peer Review

Group maintained their goal and provided additional information on the prevalence of cleft palate. Information provided good statistical data and was given in a neutral tone. --Elizabeth Hays (talk) 21:53, 5 August 2019 (UTC)

Peer Review, Part 2

Are the edits formatted consistent with Wikipedia's manual of style? Yes, the editor provided revisions that were consistent and easy to follow. Links to wikipedia articles were added for easy access to relevant topics. Aoka222 (talk) 21:55, 5 August 2019 (UTC)

Peer Review 2

Part 1: The article was updated with statistics on its prevalence in the U.S. and death rates. Structures part of cleft lip and palate were also added. ::The group achieved in improving the prevalence sections.

Part 2: Are the points included verifiable with cited secondary sources that are freely available?

Yes, the group used reliable sources to provide relevant statistics.

YooCo (talk) 21:59, 5 August 2019 (UTC)

Article is not Global

This article only discusses treatment in rich countries. Craniofacial teams are NOT routinely available to families in poor countries -- that is why organizations such as the Smile Train exist. Please correct the bias in this article. 2601:441:467F:9E00:0:0:0:7529 (talk) 00:45, 29 October 2019 (UTC)

Semi-protected edit request on 29 September 2020

Add newer citations. Add Information about other operative techniques etc Roshan Peroz (UU) (talk) 15:39, 29 September 2020 (UTC)

Hello Roshan Peroz (UU), while your account is still new you'll have to suggest edits here on this talk page. You can also work on improvements in your sandbox and then suggest them here on this talk page, just re-open this request. – Thjarkur (talk) 15:58, 29 September 2020 (UTC)

I had a concern about my nice that had Cleft Palate condition. I need Help.

I need help with my Niece. 108.48.54.21 (talk) 04:29, 20 August 2022 (UTC)

Monstro from the Binding of Isaac

Monstro, a boss from the video game the Binding of Isaac, is also a notable example of a fictional character with a cleft lip. 24.55.146.94 (talk) 00:30, 18 December 2022 (UTC)

Can't see any reputable sources talking about this, only the Binding of Isaac wiki, Steam forums, and Reddit. Moozipan Cheese (talk) 19:58, 21 December 2022 (UTC)