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05). Mean radiation dose at level Ⅳ, thyroid and cervical esophagus showed significant difference between the 2 therapeutic groups (p 0.01). As regard radiation complications, no significant difference was found in radiation dermatitis of any grade between the 2 groups (p 0.05). However, there was remarkable difference in clinical hypothyroidism and radiation esophagitis between Group A and Group B (p 0.05). Radiotherapy after surgery omitting level Ⅳ may improve the quality of life in patients with locally advanced supra