False about thyroglossal fistula is:
Thyroglossal Fistula is an acquired condition, never congenital. It usually develops after infection or incomplete removal of thyroglossal Cyst.
It is congenital reminant thyroglossal tract, present in the midline of neck
Presents as a discharging sinus, which often get infected
Treatment includes excision of fistula along with thyroglossal tract upto base of tongue
Surgical excision requires removal of middle third of hyoid bone