Methods and apparatus for treating glottic insufficiency

An implant system to treat glottic insufficiency of a patient, comprising:

• a fixation frame comprising a first set of flanges at a first edge of the fixation frame and a second flange at a second edge of the fixation frame, wherein the fixation frame is configured to secure the implant system at an opening of the patient's thyroid cartilage;
• a port system disposed in the fixation frame and configured to deliver, maintain or remove a filler;
• a flexible member, coupled to the fixation frame and in fluid or air communication with the port system, wherein based on an amount of the filler in the flexible member, the flexible member is configured to inflate in a direction to push against the patient's arytenoid cartilage so the arytenoid cartilage can be rocked, adducted and/or rotated inferomedially;
• a base disposed adjacent to the first edge of the fixation frame;
• a movable fixation plate on the base configured to secure with the base and hold the thyroid cartilage with the second flange;
• and
• a thread with an end attached to the base, wherein the movable fixation plate is movable along the thread.