The spectrum of Apert syndrome: phenotype, particularities in orthodontic treatment, and characteristics of orthognathic surgery

In the PubMed accessible literature, information on the characteristics of interdisciplinary orthodontic and surgical treatment of patients with Apert syndrome is rare. The aim of the present article is threefold: (1) to show the spectrum of the phenotype, in order (2) to elucidate the scope of hindrances to orthodontic treatment, and (3) to demonstrate the problems of surgery and interdisciplinary approach. Children and adolescents who were born in 1985 or later, who were diagnosed with Apert syndrome, and who sought consultation or treatment at the Departments of Orthodontics or Craniomaxillofacial Surgery at the Dental School of the University Hospital of Münster (n = 22; 9 male, 13 female) were screened. Exemplarily, three of these patients (2 male, 1 female), seeking interdisciplinary (both orthodontic and surgical treatment) are presented. Orthodontic treatment before surgery was performed by one experienced orthodontist (AH), and orthognathic surgery was performed by one experienced surgeon (UJ), who diagnosed the syndrome according to the criteria listed in OMIM™. In the sagittal plane, the patients suffered from a mild to a very severe Angle Class III malocclusion, which was sometimes compensated by the inclination of the lower incisors; in the vertical dimension from an open bite; and transversally from a single tooth in crossbite to a circular crossbite. All patients showed dentitio tarda, some impaction, partial eruption, idopathic root resorption, transposition or other aberrations in the position of the tooth germs, and severe crowding, with sometimes parallel molar tooth buds in each quarter of the upper jaw. Because of the severity of malocclusion, orthodontic treatment needed to be performed with fixed appliances, and mainly with superelastic wires. The therapy was hampered with respect to positioning of bands and brackets because of incomplete tooth eruption, dense gingiva, and mucopolysaccharide ridges. Some teeth did not move, or moved insufficiently (especially with respect to rotations and torque) irrespective of surgical procedures or orthodontic mechanics and materials applied, and without prognostic factors indicating these problems. Establishing occlusal contact of all teeth was difficult. Tooth movement was generally retarded, increasing the duration of orthodontic treatment. Planning of extractions was different from that of patients without this syndrome. In one patient, the sole surgical procedure after orthodontic treatment with fixed appliances in the maxilla and mandible was a genioplasty. Most patients needed two- jaw surgery (bilateral sagittal split osteotomy [BSSO] with mandibular setback and distraction in the maxilla). During the period of distraction, the orthodontist guided the maxilla into final position by means of bite planes and intermaxillary elastics. To our knowledge, this is the first article in the PubMed accessible literature describing the problems with respect to interdisciplinary orthodontic and surgical procedures. Although the treatment results are not perfect, patients undergoing these procedures benefit esthetically to a high degree. Patients need to be informed with respect to the different kinds of extractions that need to be performed, the increased treatment time, and the results, which may be reached using realistic expectations

Flourishing in subterranean ecosystems: Euro-Mediterranean Plusiocampinae and tachycampoids (Diplura, Campodeidae)

Este artículo contiene 138 páginas, 213 figuras, 14 tablas.Diplura is a group of entognathous hexapods, often considered a sister group to insects. They play an important role in recycling organic matter in soil and subterranean terrestrial ecosystems. The Campodeidae is the most diverse family, divided into four subfamilies. The subfamily Plusiocampinae has a subterranean life-style with many species distributed in the Euro-Mediterranean area. The incertae sedis tachycampoids (“lignée Tachycampoïde”) is a group within the family Campodeidae that share with the Plusiocampinae a strong preference for subterranean habitats and several morphological characters, such as slender body shape, elongated appendages, considerable increment in the number of antennomeres and cercal articles, and complexity of sensorial structures. The present monograph provides a taxonomic revision of the subfamily Plusiocampinae and the genera belonging to the tachycampoid lineage from Europe and the Mediterranean region. It comprises detailed morphological descriptions and illustrations together with data on the habitats and distributions of 87 species, 10 subspecies and 11 affinis forms. Seven new species are described among those, namely: Plusiocampa (Plusiocampa) apollo Sendra, Giachino & Vailati sp. nov., P. (P.) chiosensis Sendra & Gasparo sp. nov., P. (P.) dublanskii Sendra & Turbanov sp. nov., P. (P.) hoffmanni Sendra & Paragamian sp. nov., P. (P.) rhea Sendra sp. nov., P. (P.) ternovensis Sendra & Borko sp. nov. and P. (Venetocampa) ferrani Sendra & Delić sp. nov.DS’s field trips were funded by the Serbian Ministry of Education, Science and Technology (Grant 173038); KP was partially funded by the HISR project “Conservation of the Cave Fauna of Greece” funded by the MAVA Foundation and WWF Greece; PMG and DV carried out sampling in Greece using permits from the Ministry of Environment no. 124085/1362/2015, 135366/373/2016 and 166238/248/2018; IT was funded within the framework of the state assignment of FASO Russia (themes no. АААА-А18-118012690106-7 and АААА-А18-118012690105), supported in part by RFBR (project no. 17-54-40017Абх_а); sampling efforts by AF and colleagues resulted from various projects on the evolution of cave fauna diversity, some of them funded by the German Research Foundation, DFG (DFG FA 1042/1-1 and DFG BA 2152/14-1); PMG and DV were partly supported by the program “Research Missions in the Mediterranean Basin” sponsored by the World Biodiversity Association onlus XLI contribution; ASPSR was supported by a research grant (15471) from Villum Fonden.Peer reviewe

Figs 155–156 in Flourishing in subterranean ecosystems: Euro-Mediterranean Plusiocampinae and tachycampoids (Diplura, Campodeidae)

Figs 155–156. Plusiocampa (Plusiocampa) ternovensis Sendra & Borko sp. nov. 155. Paratype, ♂, 4.7 mm long (PMSL Diplura-002); urosternite I, left side. 156. ♀, 5.3 mm long (Coll. AS); urosternite I, left side. Scale bar: 0.1 mm.Published as part of Sendra, Alberto, Antić, Dragan, Barranco, Pablo, Borko, Špela, Christian, Erhard, Delić, Teo, Fadrique, Floren, Faille, Arnaud, Galli, Loris, Gasparo, Fulvio, Georgiev, Dilian, Giachino, Pier Mauro, Lukić, Marko, Marcia, Paolo, Miculinić, Kazimir, Nicolosi, Giuseppe, Palero, Ferran, Paragamian, Kaloust, Pérez, Toni, Polak, Slavko, Prieto, Carlos E., Turbanov, Ilya, Vailati, Dante & Reboleira, Ana Sofia P. S., 2020, Flourishing in subterranean ecosystems: Euro-Mediterranean Plusiocampinae and tachycampoids (Diplura, Campodeidae), pp. 1-138 in European Journal of Taxonomy 591 on page 94, DOI: 10.5852/ejt.2020.591, http://zenodo.org/record/365982

Oncinocampa paclti

Oncinocampa paclti (Condé, 1981) Litocampa paclti Condé, 1981a: 96, fig. 1. Plusiocampa (Stygiocampa) sp. – Paclt 1979: 222. Diagnosis (Paclt 1979; Condé 1981a; Sendra & Condé 1988) Non-troglomorphic species; epicuticle with microdenticles; antennae with 18–25 doliiform antennomeres; gouge sensilla thick and short; four to six simple olfactory chemoreceptors in cupuliform organ; non-developed frontal process, with non-tubercular setae. Pronotum with 1+1 ma, 1+1 la, 1+1 lp macrosetae; mesonotum with 1+1 ma, 1+1 la macrosetae; metanotum with 1+1 ma macrosetae; middlesized notal macrosetae with a few distal long barbs, la pronotal and ma macrosetae with one or two distal barbs; short, smooth clothing setae. No dorsal femoral macrosetae; one ventral tibial macroseta; small, subequal, elbow-like claws with very small lateral crests; setiform, smooth pretarsal processes. Urotergites I–IV with 1+1 ma macrosetrae; urotergites V–VII with 1+1 ma, 1+1 la, 1+1 lp macrosetae; urotergite VIII with 1+1 ma, 3+3 post macrosetae; abdominal segment IX with 1+1 ma, 5+5 post macrosetae; urosternite I with 6+6, urosternites II–VII with 4+4, urosternite VIII with 1+1 macrosetae; male with glandular g 1 setae; small, subtrapezoidal appendages with glandular a 1 and a 2 setae; female with subcylindric appendages with glandular a 1 setae. Habitat and distribution Non-troglomorphic species found in one cave and within soil at two adjacent localities in the east of Sardinia.Published as part of Sendra, Alberto, Antić, Dragan, Barranco, Pablo, Borko, Špela, Christian, Erhard, Delić, Teo, Fadrique, Floren, Faille, Arnaud, Galli, Loris, Gasparo, Fulvio, Georgiev, Dilian, Giachino, Pier Mauro, Lukić, Marko, Marcia, Paolo, Miculinić, Kazimir, Nicolosi, Giuseppe, Palero, Ferran, Paragamian, Kaloust, Pérez, Toni, Polak, Slavko, Prieto, Carlos E., Turbanov, Ilya, Vailati, Dante & Reboleira, Ana Sofia P. S., 2020, Flourishing in subterranean ecosystems: Euro-Mediterranean Plusiocampinae and tachycampoids (Diplura, Campodeidae), pp. 1-138 in European Journal of Taxonomy 591 on pages 112-113, DOI: 10.5852/ejt.2020.591, http://zenodo.org/record/365982

Plusiocampa (Plusiocampa) provincialis subsp. provincialis provincialis Conde 1949

Plusiocampa (Plusiocampa) provincialis provincialis Condé, 1949 Plusiocampa provincialis Condé, 1949: 166, figs a–b, d–h. Diagnosis (Condé 1949, 1957, 1981a, 1983; Bareth 2006) Troglomorphic species. Antennae with 30–36 antennomeres; sensillum of third antennomere very long, in ventral position; protruding frontal process with tubercular setae. Pronotum with 1+1 ma, 4+4 la, 2+2 lp macrosetae; mesonotum with 1+1 ma, 3+3 la, 2+2 lp, 1+1 mp macrosetae; metanotum with 1+1 ma, 2+2 la, 2+2 lp, 1+1 mp macrosetae; long, barbed notal macrosetae; barbed notal clothing setae. Two ventral tibial macrosetae; subequal claws (1.06) with large lateral crests, posterior claw with a small backward overhang. Urotergites I–II with 2+2 post macrosetae; urotergite III with 2+2– 3+3 post macrosetae; urotergite IV with 1+1 la, 5+5 post macrosetae; urotergite V with 2+2 la, 5+5 post macrosetae; urotergites VI–VII with 3+3 la, 5+5 post macrosetae; urotergite VIII with 7+7 post macrosetae; thick clothing setae on abdominal segments IX–X; urosternite I with 7+7, urosternites II– VII with 5+5, urosternite VIII with 2+2 macrosetae. Male with a large area of glandular g 1 setae and appendages with glandular a 2 setae. Habitat and distribution Subterranean species found in nine caves around Massif de Marseilleveyre and the Sainte-Baume Massif, Alps de Provence, southeastern France.Published as part of Sendra, Alberto, Antić, Dragan, Barranco, Pablo, Borko, Špela, Christian, Erhard, Delić, Teo, Fadrique, Floren, Faille, Arnaud, Galli, Loris, Gasparo, Fulvio, Georgiev, Dilian, Giachino, Pier Mauro, Lukić, Marko, Marcia, Paolo, Miculinić, Kazimir, Nicolosi, Giuseppe, Palero, Ferran, Paragamian, Kaloust, Pérez, Toni, Polak, Slavko, Prieto, Carlos E., Turbanov, Ilya, Vailati, Dante & Reboleira, Ana Sofia P. S., 2020, Flourishing in subterranean ecosystems: Euro-Mediterranean Plusiocampinae and tachycampoids (Diplura, Campodeidae), pp. 1-138 in European Journal of Taxonomy 591 on page 75, DOI: 10.5852/ejt.2020.591, http://zenodo.org/record/365982

Plusiocampa (Stygiocampa) dalmatica Conde 1959

Plusiocampa (Stygiocampa) dalmatica Condé, 1959 Figs 205, 208 Plusiocampa dalmatica Condé, 1959: 48, fig. 2. Diagnosis (Condé 1959; Bareth 1988; Condé & Bareth 1996) Troglomorphic species. Antennae with 41–47 antennomeres; numerous sheet-shaped complex olfactory chemoreceptors in cupuliform organ; protruding frontal process with tubercular setae. Pronotum with 1+1 ma, 3+3–4+4 la, 2+2 lp macrosetae; mesonotum with 1+1 ma, 2+2 la, 2+2 lp macrosetae; metanotum with 1+1 ma, 1+1 la, 2+2 lp macrosetae; long, barbed notal macrosetae; long, barbed notal clothing setae. No ventral tibial macrosetae; unequal claws with large lateral crests, posterior claw with a backward overhang. Urotergite III with 0+0–1+1 (1+0) la macrosetae; urotergite IV with 1+1 la, 0+1 post macrosetae; urotergite V with 1+1 la, 4+4 (3+4) post macrosetae; urotergites VI–VII with 1+1 la, 4+4 post macrosetae; urotergite VIII with 5+5–6+6 post macrosetae; abdominal segment IX with 8+8– 9+9 (10+9) post macrosetae. Urosternite I with 14+15–21+20, urosternites II–VII with 9+9–12+12, urosternite VIII with 2+2–3+3 macrosetae. Male with lateral expansions of posterior margin occupied by an area of glandular g 1 setae in adults (no expansion in juveniles and little expansion in young males), subcylindrical appendages without glandular a 2 setae; female with subcylindrical appendages with glandular a 1 setae. Remarks The studied material (see Table S 2 in Supplementary Material) allowed us to make additions to the diagnosis (Coll. AS). Habitat and distribution Subterranean species well distributed around the northwestern Dinaric Mountains, found in 18 caves (Figs 205, 208).Published as part of Sendra, Alberto, Antić, Dragan, Barranco, Pablo, Borko, Špela, Christian, Erhard, Delić, Teo, Fadrique, Floren, Faille, Arnaud, Galli, Loris, Gasparo, Fulvio, Georgiev, Dilian, Giachino, Pier Mauro, Lukić, Marko, Marcia, Paolo, Miculinić, Kazimir, Nicolosi, Giuseppe, Palero, Ferran, Paragamian, Kaloust, Pérez, Toni, Polak, Slavko, Prieto, Carlos E., Turbanov, Ilya, Vailati, Dante & Reboleira, Ana Sofia P. S., 2020, Flourishing in subterranean ecosystems: Euro-Mediterranean Plusiocampinae and tachycampoids (Diplura, Campodeidae), pp. 1-138 in European Journal of Taxonomy 591 on pages 97-98, DOI: 10.5852/ejt.2020.591, http://zenodo.org/record/365982

Plusiocampa (Plusiocampa) bonneti subsp. deharvengi Bareth & Conde 1996

Plusiocampa (Plusiocampa) bonneti deharvengi Bareth & Condé, 1996 Plusicampa bonneti deharvengi Bareth & Condé, 1996: 128, figs 1–2, table 1. Differential diagnosis against the type form (Bareth & Condé 1996) Antennae with 34–38 antennomeres; six to seven simple olfactory chemoreceptors in cupuliform organ; slight protruding frontal process with a few anterior tubercular setae; abundant barbed notal clothing setae. One ventral tibial macroseta. Unequal claws with large lateral crests, posterior claw with a backwards overhang. Urotergites IV–VII with 1+1 la, 5+5 post macrosetae. Male with an area of glandular g 1 setae; subtriangular appendages with glandular a 2 setae. Spermatozoid fascicle wheels with 1½–2 turns of 8 µm diameter filament. Habitat and distribution Subterranean subspecies found in two caves in the northern part of the Eastern Pyrenees.Published as part of Sendra, Alberto, Antić, Dragan, Barranco, Pablo, Borko, Špela, Christian, Erhard, Delić, Teo, Fadrique, Floren, Faille, Arnaud, Galli, Loris, Gasparo, Fulvio, Georgiev, Dilian, Giachino, Pier Mauro, Lukić, Marko, Marcia, Paolo, Miculinić, Kazimir, Nicolosi, Giuseppe, Palero, Ferran, Paragamian, Kaloust, Pérez, Toni, Polak, Slavko, Prieto, Carlos E., Turbanov, Ilya, Vailati, Dante & Reboleira, Ana Sofia P. S., 2020, Flourishing in subterranean ecosystems: Euro-Mediterranean Plusiocampinae and tachycampoids (Diplura, Campodeidae), pp. 1-138 in European Journal of Taxonomy 591 on page 34, DOI: 10.5852/ejt.2020.591, http://zenodo.org/record/365982

Plusiocampa (Plusiocampa) isterina Conde 1993

Plusiocampa (Plusiocampa) isterina Condé, 1993 Plusiocampa isterina Condé, 1993a: 736, figs 1a, 2, 3a, 4, 6a. Diagnosis (Condé 1993a, 1996) Non-troglomorphic species. Antennae with 23 antennomeres; four simple olfactory chemoreceptors in cupuliform organ; slightly protruding frontal process with some slightly tubercular setae. Pronotum with 1+1 ma, 3+3 la, 2+2 lp macrosetae; mesonotum with 1+1 ma, 3+3 la, 2+2 lp macrosetae; metanotum with 1+1 ma, 1+1 (2+1) la, 2+2 lp macrosetae; long, thin, barbed notal macrosetae; short, smooth clothing setae. Two ventral tibial macrosetae; unequal claws (1.29) with large lateral crests, posterior claw with a backward overhang; pretarsal processes short, with a few sparse barbs. Urotergites I–II with 1+1 post macrosetae; urotergite III with 2+2 post macrosetae; urotergites IV–V with 1+1 la, 5+5 post macrosetae; urotergites VI–VII with 2+2 la, 5+5 post macrosetae; urotergite VIII with 6+6 post macrosetae; abdominal segment IX with 8+8 post macrosetae; urosternite I with 7+7, urosternites II– VII with 5+5, urosternite VIII with 2+2 macrosetae. Male unknown; subcylindrical female appendages bearing glandular a 1 setae.Published as part of Sendra, Alberto, Antić, Dragan, Barranco, Pablo, Borko, Špela, Christian, Erhard, Delić, Teo, Fadrique, Floren, Faille, Arnaud, Galli, Loris, Gasparo, Fulvio, Georgiev, Dilian, Giachino, Pier Mauro, Lukić, Marko, Marcia, Paolo, Miculinić, Kazimir, Nicolosi, Giuseppe, Palero, Ferran, Paragamian, Kaloust, Pérez, Toni, Polak, Slavko, Prieto, Carlos E., Turbanov, Ilya, Vailati, Dante & Reboleira, Ana Sofia P. S., 2020, Flourishing in subterranean ecosystems: Euro-Mediterranean Plusiocampinae and tachycampoids (Diplura, Campodeidae), pp. 1-138 in European Journal of Taxonomy 591 on page 64, DOI: 10.5852/ejt.2020.591, http://zenodo.org/record/365982