Abstract: Objective To discuss the nasal reconstruction in nasalorbitalethmoidal complex fractures. Methods Clinical data of 40 patients with nasalorbitalethmoidal complex fractures from Jan 2008 to April 2011 was studied retrospectively. All the patients received titanium plate internal fixation of displaced bone tissue. As for the operation time, 25 patients received the fixation in 2 weeks after injury and 15 within 2 weeks to 2 months after injury. Results Primary healing was achieved in all 40 patients with symmetrical facial appearance and normal ventilation. Conclusion Nasalorbitalethmoidal complex fractures require surgery as soon as possible. For the patients with poor surgical results of closed reduction, light contamination and without suppurative lesions around the wound, titanium plate internal fixation is very important for the reconstruction of the morphology and function.