Our expert says:
It is difficult to guess the possible cause without an examination, so I trust you will have this done, or it has been done. This is most likely a congenital non-closure of fissures in the embriological planes of the face.
The extent of the hole will need to be examined, to establish possible closure. A case like this is best managed in a team, so that all the possible options may be discussed. You should see an ENT surgeon for an examination and possible help in putting together a team of experts to best advise you on future management if this may be necessary.
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