We have a problem

I'm pretty darn sure there's a big hole in Max's palate. The interesting thing is it's over at the gum line on the side. I think they create a flap from that area to close the midline defect (which looks great by the way). I'm so depressed. Of course my mind has raced ahead. I'm already quite sure that Max's speech will never progress and that we'll be re-operating every year without ever successfully closing this fistula. (Is this even called a fistula since it's not at the closure site?) Clearly, he'll need a free flap if this is ever to be closed. I know way too much about the worst case scenario.