incudectomy /in′kyo̅o̅dek″təmē/ [L, incus, anvil, ektomē, excision] , surgical removal of the incus, performed to treat conductive hearing loss that results from necrosis of the tip of the incus. The defective incus is excised and replaced with a bone chip graft so that sound vibrations are again transmitted. After surgery the nurse instructs the patient to change position slowly to avoid dizziness, to avoid blowing the nose and sneezing, and to report any fever, headache, dizziness, or ear pain.