Naso-Orbito-Ethmoidal fractures can occur in single entity or in conjunction with other craniofacial fractures. Most often they are associated with frontal Le Fort II or Le Fort III fractures. It involves nasal bones including bony septum, the frontal process of the maxilla and nasal–orbital–ethmoid complex bilaterally. Open and Closed reduction are the two ways of management which are adapted by surgeons according to the situation and severity. This article describes a case report of 21-year male patient with history of road traffic accident who is diagnosed with naso-orbito-ethmoid fracture and was treated with open reduction and internal fixation