“…In several laboratory and field studies, an association between environmental contamination level (metals, such as As, Cd, Cr, Cu, Hg, Mn, Ni, Pb, Zn, and organic compounds, such as polychlorinated biphenyls (PCBs) and pesticides) and the onset of sublethal effects as deformities of mouthparts (i.e., mentum, mandibles, and pectin epipharyngis) in chironomid larvae has been observed. In this regard, studies on chironomid mouthpart deformities have been developed since the 1970s [26][27][28] and a vast amount of literature based on laboratory bioassays [22,23,[29][30][31][32][33][34][35][36][37][38][39][40][41] and field surveys [21,[42][43][44][45][46][47] endorses that the incidence of these deformities is well associated with the degree of sediment toxicity, whereas no relationship has been detected between deformed phenotypes and organic enrichment; hence, the water quality assessment indices are not always consistent with the use of chironomid deformities [48]. However, some studies have expressed concerns about the association between deformity incidence and toxicants [24,49].…”