Abstract: An adjustable prosthetic device for a vocal cord includes an actuator member for locating a paralyzed vocal cord in a predetermined phonation position. The device further includes a support member for supporting the actuator member in a predetermined position proximate the paralyzed vocal cord. A fluid input/withdrawal station for introducing or removing fluid from engagement with the actuator member enables the actuator member to change the location of the paralyzed vocal cord from a first predetermined phonation position to another selected position. In several embodiements of the invention the actuator member is a fluid expandable shell. In other embodiments of the invention the actuator member is a piston-expandable bellows and a movable ratchet member. The support member that supports the actuator member can be hung onto a thyroid cartilage or passed through the thyroid cartilage.