Humans naturally integrate signals from the olfactory and intranasal trigeminal systems. A tight interplay has been demonstrated between these two systems, and yet the underlying neural circuitry that mediate olfactory-trigeminal integration remains unclear. Using functional magnetic resonance imaging (fMRI), this study investigated the neural mechanisms underlying olfactory-trigeminal integration. Fifteen subjects with normal olfactory function performed a localization task with weak or strong air-puff stimuli, phenylethyl alcohol (PEA; rose odor), or a combination. Although the ability to localize PEA to either nostril was at chance, its presence significantly improved the localization accuracy of weak, but not strong, air-puffs, relative to the localization of air-puffs without concomitant PEA, when both stimuli were delivered concurrently to the same nostril. This enhancement in localization accuracy was directly correlated with the magnitude of multisensory activity in the primary olfactory cortex (POC). Changes in orbitofrontal cortex (OFC) multisensory activity alone could not predict task performance, but changes in OFC and POC connectivity could. Similar activity and connectivity patterns were observed in the superior temporal cortex (STC), inferior parietal cortex (IPC) and the cerebellum.Taken together, these results suggest that olfactory-trigeminal integration is occurring across multiple brain regions. These findings can be interpreted as an indication that the POC is part of a distributed brain network that mediate the integration between olfactory and trigeminal systems.that multisensory effects in the OFC, STS and posterior parietal cortex (known higher-order multisensory brain regions) contribute to olfactory-trigeminal integration. Lastly, we tested the hypothesis that the effects of multisensory interaction in the POC is, in fact, driven by its connectivity with the OFC, STS and IPC.