An example implant system to treat glottic insufficiency is disclosed. The implant system includes a fixation frame (320) comprising a first set of flanges (321, 321') at a first edge of the fixation frame and a second flange (323) 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 (210), a port system (350) disposed in the fixation frame and configured to receive, deliver, maintain, or remove a filler, a flexible member (380), 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 (222) so the arytenoid cartilage is rocked, adducted and/or rotated inferomedially, a base (325) disposed adjacent to the first edge of the fixation frame, a fixation plate (330) configured to secure with the base and hold the thyroid cartilage with the second flange, and a fastener (340) integrated with the fixation plate to secure the fixation plate to the base.
