Obstructive sleep apnea (OSA) presents significant challenges in management, often necessitating innovative treatment approaches. Distraction osteogenesis (DO) has emerged as a promising technique in the correction of craniofacial abnormalities associated with OSA. This narrative review explores the current literature on the application of DO in patients with OSA, focusing on its effectiveness, safety profile, and long-term outcomes. The review examines key studies, including clinical trials and case reports, evaluating the use of DO in various OSA phenotypes and severity levels. Additionally, considerations regarding patient selection, surgical techniques, complications, and adjunctive therapies are discussed. The review underscores the potential of DO as a valuable tool in the multidisciplinary management of OSA, highlighting its ability to address anatomical deficiencies and improve airway patency. However, further research is warranted to elucidate optimal patient selection criteria, refine surgical protocols, and ascertain the comparative effectiveness of DO relative to traditional treatments for OSA.