The severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2) responsible for the coronavirus disease 2019 (COVID-19) was first reported in Wuhan, China, in December 2019 and has since spread globally in a few short months. The use of negative pressure mask technique resulted in 98%reduction in the fine particulate aerosol stimulation and eliminated larger respiratorydroplet spread during stimulated ESS including during external drill activation. As global ENT services resume routine elective operating, we demonstrate the potential use of a simple negative pressure mask technique to reduce the risk of viral exposure for the operator and theatre staff during ESS.