A respiration implant system for a patient with impaired breathing includes one or more temperature sensors configured for placement into an inner wall tissue along an airway passage of the patient and configured to measure temperature in the inner wall tissue in order to produce a temperature signal based on the measured temperature. The system further includes a pacing processor configured to receive the temperature signal from the temperature sensor and to generate a respiration pacing signal based on the temperature signal that is synchronized with a breathing cycle of the patient and a stimulating electrode configured to deliver the respiration pacing signal from the pacing processor to respiration neural tissue of the patient to facilitate breathing in the patient. The respiration implant system may be used as a laryngeal pacemaker system.