In an emergency situation, bilater­al myringotomy was required for four children from one family with sub acute carbon monoxide poisoning prior to starting hyperbaric oxygen therapy. As the emergency theatre was too busy, the author had to do this procedure for the four children under local anaesthesia. The tech-nique described in this paper include some modifications of previously de­scribed techniques. This technique was safe and effective and the instru­ments used are cheap and easily available in the usual ENT treatment rooms. Subsequently, the author adopted the same technique in elec­tive cases of paediatric and adult my­ringotomy with/without ventilation tube inser