That is as sad alright....damn I don't wish this on anyone....
I once saw a man, worked around him on rare occassion, who had his lower jaw removed, and he was a horrific sight, It was all I could do to not freak out. Hell think what it must of been like for him...a hole in his esophagus to speak in his voice box. With the upper jaw removed, if necessary Jim is screwed, and that is horrific, damn sad, very sad.