Maxillofacial fractures often result from blunt trauma such as vehicular accidents, assaults, sports injuries, and falls, with penetrating injuries being less common. Among these, naso-orbito-ethmoidal (NOE) fractures are particularly complex due to their involvement of the frontal, nasal, lacrimal, maxillary, and ethmoid bones. These fractures compromise the medial canthal tendon (MCT), leading to functional and aesthetic deformities such as telecanthus, enophthalmos, nasal deformity, and CSF leaks. Markowitz and Manson classified NOE fractures into three types, depending on MCT involvement....