Oh no I think he could have and should have left it alone there and then since there's been a closing attempt just 2 days prior to that and the area was too damaged for anything further to do any good. Plus, he made me have the operation by scaring me how it would NEVER heal on its own and how I would need a major sinus surgery if it was left open.
Not true. The perforation was larger than ever before 5x5 mm 2 weekys post-surgery then after it recovered from whatever damage he did it it started to heal on its own and is almost fully closed - no air movement only some water still gets to wet my nose. But it DID heal on its own as it might have in the first place if it was left alone.
Plus, he said I might not be able to get an implant in the area but the the fact that I'll be ruined or that I'll be unable to have a denture ever was never mentioned because I think he didn't know what he was doing. No, there did not have to be am attempt to close it there and then and this way. If the procedure is knowingly so difficult with no guarantees should not I had been given a CHOICE? He acted like it was nothing.
There was nothing else brewing in the area only what he put there. The fistula is closing on its own now after the site recovered from the totally useless but absolutely destroying procedure he decided to force on me without my knowledge.

There wasn't a severe communication, it was a perforation that happens, left alone, I would be over the whole thing.
The fact that it might have been his first W-R lobe might have not helped as I found out along with how quickly he left his practice AND the country for good 2 weeks after the operation.

So yes, maybe it's all my fault and my body's fault but I surely would have said no if I knew the risks and the certainties. I'm not worried about the communication because I trust it will fully heal on its own now, I'm worried about the damage done.