Table 1.

MDACC head and neck lymphedema rating scale

Levels	Description
0	No visible edema but pt reports heaviness
1a	Soft visible edema; no pitting, reversible
1b	Soft pitting edema; reversible
2	Firm pitting edema; not reversible; no tissue changes
3	Irreversible; tissue changes

Note: Adapted from the Foldi Lymphedema Rating Scale [1]

MDACC Scale splits Foldi Level 1 into 1a and 1b to reflect the presence of soft non-pitting edema in patients with HNL.