We present a procedure for the segmentation of the mastoid - a sponge-like bone structure behind the middle ear - from CT Images. This segmentation is a first pre-operative step for a robot-supported hearing aid implantation. Up to now, the mastoid is milled out by an ENT surgeon to allocate space for the hearing aid. This tedious milling process of the mastoid is intended to be performed by a robot to reduce the required time and improve the accuracy.