The use of osseointegration for bone anchorage in the prosthetic management of craniofacial defects has been successfully applied for many years. Different methods can be used for reconstruction of the aural atresia. Nowadays plastic surgery for auricular reconstruction and the bone-anchored episthesis are used for correction of aural atresia. There have been several studies in the literature comparng these techniques. According to those studies, bone-anchored episthesis is an excellent alternative to plastic reconstructive surgery of the auricle. In the present study we present 2 cases with different etiologic factors. The patients' right external ears were absent. There was loss in hearing function in one of the patients. We applied external ear episthesis with a bone-anchored system.