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The bony naso-orbital-ethmoid (NOE) complex is a 3-dimensional delicate anatomic structure.Damages to this region may result in severe facial dysfunction and malformation.The management and optimal surgical treatment strategies of NOE fractures remain controversial.For a patient with NOE trauma,doctors should perform comprehensive clinical examination and radiographic analysis to assess the type and extent of fracture.The results of assessment will assist doctors to make a patientspecific program for the sake of reducing post-operation complications and restoring normal appearance and function as much as possible.This review focuses on the advancement of management of NOE fractures including symptoms,classifications,diagnosis,approaches,treatment and new techniques in this field.