Purpose: The purpose of this article is to describe an automated technique
that creates a mirror-image wax model of the contralateral ear using a rapi
d prototyping technique, which allows precise positioning and adaptation to
the deficient side of the face. Materials and Methods: Magnetic resonance
images (MRI) are taken of the face and then digitized and reformatted into
a 3-dimensional image. The image of the normal ear is extracted, mirrored,
and positioned onto the image of the deformed side of the face. The digitiz
ed data, when used in conjunction with stereolithography, produces a photop
olymerized resin model ear. A model wax ear is created by pouring molten wa
x into a silicone mold of the resin model ear. Results: A model wax ear of
identical dimensions, shape, and internal contouring as the contralateral n
ormal ear is created. The technique allows the undersurface of the model wa
x ear to be precisely positioned against the surface contours of the deform
ed side of the face in 1 patient. Conclusion: The use of stereolithography
from MRI scan data is a suitable technique for producing a model wax ear th
at fits the deformed side of the face. The 3-dimensional computer image of
the face may also be used to plan the position (level and protrusion) of th
e ear.