In the management of thyroglossal cyst -
Thyroglossal cyst is managed by Sistrunk operation in which the cyst is completely excised along with the thyroglossal tract. Since the thyroglossal tract is intimately related to the hyoid bone, the central portion of the hyoid bone is also removed.
Central portion of hyoid excised
Sternothyroid muscle dissected
Isthmusectomy with subtotal thyroidectomy
Strap muscle of neck are dissected