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A cleft palate is a hole in the roof of the mouth (the palate) that can involve the hard palate and/or the soft palate. It can be unilateral (one sided) or bilateral (two sided). It occurs during the first trimester of pregnancy when parts of the palate fail to completely fuse. Reprinted from Cleft Lip and Palate: The First Four Years with permission of the Cleft Palate Foundation.
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