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The roof of the mouth (palate) is formed between the sixth and ninth weeks of pregnancy. A cleft palate happens if the tissue that makes up the roof of the mouth does not join together completely during pregnancy. For some babies, both the front and back parts of the palate are open. For other babies, only part of the palate is open. Cleft lip and cleft palate are thought to be caused by a combination of genes and other factors, such as things the mother comes in contact with in her environment, or what the mother eats or drinks, or certain medications she uses during pregnancy. A split in the lip and roof of the mouth (palate) that can affect one or both sides of the face A split in the lip that can appear as only a small notch in the lip or can extend from the lip through the upper gum and palate into the bottom of the nose A split in the roof of the mouth that doesn't affect the appearance of the face There is no absolute way to prevent this you are just born with cleft palate. If you are pregnant or are trying to become pregnant: Do not take any medicines before first getting approval from your doctor. Some prescription medicines taken during pregnancy increase the chance that a fetus will develop cleft lip or cleft palate. Work with your doctor to find the right balance between your need for the medicine and the possible risks to the fetus. Do not smoke. Smoking during pregnancy may raise the risk of having a child with a cleft lip and/or cleft palate. Do not use any illegal drug. Do not drink alcohol. Do not have medical tests that expose you to radiation. Do not let yourself be around people who have infectious diseases, such as chickenpox. Surgery Treatments for complication include: Feeding strategies, such as using a special bottle nipple or feeder Speech therapy to correct difficulty with speaking Orthodontic adjustments to the teeth and bite, such as having braces Peyton Manning Cheech Martin Tutankhamun (King Tut) http://www.mayoclinic.org/diseasesconditions/cleft-palate/basics/treatment/con20024619 http://www.cdc.gov/ncbddd/birthdefects/clef tlip.html http://www.uofmhealth.org/healthlibrary/ue5447