Cleft Lip / Palate Support Group
Cleft is a congenital deformity caused by a failure in facial development during gestation. It can be treated with surgery shortly after birth with highly successful results. Cleft occurs in somewhere between one in 600 and one in 800 births. Cleft occurs in several severities and is divided in two major categories: cleft lip and cleft palate.

I've had several repairs.
I'm not going to bother trying to close the holes, since they often persist anyhow. I'm not sure how nasally I am these days, but I think it it much more noticeable when I have a cold. And I cannot really blow my nose, either. Can't get up enough pressure to do it. Kinda annoying, but oh well.
Thanks to everyone who mentioned the drainage problem - glad to know I'm not the only one!