Factor the polynomial expression completely. 
Definitions:
Amblyopia
A condition affecting vision development in which an eye cannot attain usual clarity, frequently called "lazy eye."
Ménière's Disease
A condition affecting the inner ear, resulting in episodes of dizziness (vertigo) and a decline in hearing capability.
Otitis Externa
An infection of the outer ear canal, often referred to as "swimmer's ear," which can cause pain and swelling.
Pruritus
An uncomfortable, irritating sensation that leads to the desire to scratch, commonly referred to as itchiness.
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