My ENT did a neck dissection after my triple scope, but that was pre-planned, and if recurrent cancer was found in the oropharynx, he was going to do the split lip method surgery. They also did a triple scope before I had a salivary stone removed from the duct during my first direct biopsy, but that was planned too. That did hurt since I had a plug, stitches in the floor of my mouth for a while.