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Brtish singer, Sam Smith's fans in Cape Town where left disappointed after his concert was cut short due to voice strain.

After only 45 minutes of performance, the 26-year-old abruptly left the stage and later announced that he was unable to continue with the concert.

Head of the ENT department at Stellenbosch University, Prof James Loock, says this is very common in singers as the delicate nature of vocal cords takes a tremendous strain.

There are ENT surgeons who look after professional voices. In the same way, an athlete has to look after his knees, a singer has to look after his vocal cords.

Prof James Loock, Head of the ENT department - Stellenbosch University

Smith indicated that he was battling anxiety and depression over the past few weeks.

Loock says there can be a connection to the physical voice.

A throat is a very emotional part of our body.

Prof James Loock, Head of the ENT department - Stellenbosch University

When you use a voice as a profession, you have to be extremely relaxed. If you use strain and force, it can put extra tension on your vocal cords and cause you to have problems.

Prof James Loock, Head of the ENT department - Stellenbosch University

A professional singer should have a speech therapist working with them all the time making sure that they use relaxed techniques...

Prof James Loock, Head of the ENT department - Stellenbosch University

Big Concerts CEO, Justin van Wyk, commented on what is to happen next after Sam Smith ended his concert prematurely.

He says it took Smith 6 years to finally come to South Africa and it was the hardest decision to make to stop the show halfway.

He denies that this had anything to do with Smith's mental health.

This is purely about his voice. For those who were there, he was on fire, he was really owning that room, hitting the right notes and suddenly he just felt it. There was something that went wrong and it had to do with his vocal, nothing about his mental health.

Justin van Wyk, CEO - Big Concerts

Big Concerts will be engaging with Smith's team to look at options to compensate the fans.

Smith is scheduled to perform at the Grandwest Casino for three sold-out shows on April 16, 17 and 18.

Van Wyk says the shows will still go on as planned and any changes will be communicated later in the day.

To hear the rest of the conversation, listen below:

This article first appeared on CapeTalk : Sam Smith voice strain cut short Cape Town concert but next two shows will go on

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