Many times hole in the head and other lesions are caused by organisms in the stomach. I suspect you will need antibiotics to treat. However, if it is really advanced you will not be able to save it.
If it was a valuable fish, I would take it to the vet so they could do a scrape and identify the best antibiotics after looking at it under a microscope.
If it was a valuable fish, I would take it to the vet so they could do a scrape and identify the best antibiotics after looking at it under a microscope.