This article describes a method for fabricating an auricular prosthesis. Th
is procedure uses the contours of the soft tissue surface from computerized
tomography scans to fabricate a computer-generated, side-inverted 3-dimens
ional soft tissue model from a solid block of polyurethane using an Endopla
n milling machine. The resultant 3-dimensional soft tissue model can then b
e used as the basis for a wax sculpture. This procedure facilitates the pla
nning of the prosthesis; symmetrical modeling, especially for large, hemifa
cial defects; and the impression, which can be made on the model itself.