There is a round hard above the laryngeal nodes may be thyroglossal cysts, sebaceous cysts, lymph node enlargement and other diseases. 1. thyroglossal cyst: thyroglossal cyst belongs to a congenital disease, due to the embryonic period, thyroglossal duct degradation in the process of thyroid development and the formation of a cyst. 2. Sebaceous cyst: this disease is a cystic swelling formed by the blockage of sebaceous gland ducts, and when it grows above the laryngeal nodes, you can feel something round and hard here. 3. Enlarged lymph nodes: When the body is infected by viruses or bacteria, acute and chronic inflammation will be induced, causing enlarged lymph nodes, resulting in a round and hard swelling above the Adam’s apple. The appearance of round hard above the patient’s throat nodes may also be caused by other diseases, you need to go to the hospital for examination, clear cause of the disease in the doctor’s advice to carry out the correct treatment.