Objective To explore the clinical application of rapid prototyping technology in ear reconstruction. Methods Image data of spiral CT scanning of normal side ear was converted into STL format files by the Mimics software. 3D model of affected ear was obtained by rapid prototyping system after modeling through image technique. Then the 3D model was guided for autologous rib cartilage bracket carving in stage one of ear reconstruction and individual reconstruction of cranio-auricular angle in stage two of ear reconstruction. Results Since 2012, 9 models of microtia were built by rapid prototyping technology. More than 10 substructure units of external ear were reconstructed. Cranio-auricular angle was stable. Patients were followed up for 6-13 months and were satisfied with the ear appearance. Conclusion Comparing with traditional two-dimensional film model, using rapid prototyping technology for the reconstruction of 3-D model of external ear is more intuitive and stereoscopic, and is worthy of clinical application.