A bulging hard lump above the laryngeal node may be a normal hyoid bone, a thyroglossal cyst, or an enlarged lymph node in the neck. 1. Hyoid bone: The hyoid bone is located in the neck and supports the tongue between the mandible and the larynx. Some patients with thin neck tissues may mistake the hyoid bone for a mass when palpating themselves. 2. Thyroglossal cyst: In some patients, the thyroglossal duct degenerates incompletely after birth, and the blind end forms a congenital cystic lesion in front of the hyoid bone. If this lesion is infected, the cyst will appear red and swollen and even painful. 3. Enlarged lymph nodes in the neck, when there is inflammation and infection in the ear, nose and throat area, the lymph nodes in the neck can be enlarged. It is recommended that the patient should consult a doctor in time for a systematic examination to make a clear diagnosis.