Flabella were originally used in the West as well as the East, but their use was discontinued in the Latin Church about the fourteenth century.
Apart from the foregoing liturgical uses, a flabellum, in the shape of a fan, later of an umbrella or canopy, was used as a mark of honour for bishops and princes. Prior to Vatican II, two fans of this kind were used at the Vatican whenever the pope was carried in state on the sedia gestatoria to or from the altar or audience-chamber. Through the influence of Count Ditalmo di Brozza, the fans formerly used at the Vatican were, in 1902, presented to Mrs. Joseph Drexel of Philadelphia, USA, by Pope Leo XIII, and in return she gave a new pair to the Vatican. The old ones are exhibited in the museum of the University of Pennsylvania. The spread is formed of great ostrich plumes tipped with peacock feathers; on the palm (base of the fan) are the papal arms, worked in heavy gold on a crimson field, the tiara being studded with rubies and emeralds. The new pair of flabella is on display in the Vatican museum.
In the Eastern Orthodox and Greek-Catholic Churches the sacred fan (Greek: άγιον ριπίδιον, hagion ripidion, plural: άγια ριπίδια, hagia ripidia; sometimes εξαπτέρυγον, hexapterygon, plural: εξαπτέρυγα hexapteryga—literally, "six-winged"), is still used to the present day. It is generally made of metal, round, having the iconographic likeness of a seraph with six wings surrounding a face, and is set on the end of a pole. Fans of carved, gilded, or painted wood are also found. They are usually made in pairs.
The deacon, according to the Service Books, stands by the Holy Table (altar) to fan the Sacred Gifts by waving it gently over them from the time of the Offertory to the Communion—in the Liturgy of St. Basil he does this only during the Consecration. This originally served the purpose of keeping flying insects away from the Sacred Gifts. Nowadays, the Gifts are usually covered, shortly following their sanctification, whenever the priest or deacon does not have his hand immediately near them so, while this action of fanning is called for in the service books to this day, the deacon normally only does so on the day of his ordination. At his ordination, a deacon, receives the fan from the bishop with his vestments and service book and is presented to the people for them to exclaim “Worthy!” holding the fan, and then stands behind the Holy Table (altar) to fan the Sacred Gifts according to the otherwise archaic practise.
Among the Greeks the fans will be carried during the Great Entrance and at all processions; among the Russians they will normally be used only when a bishop is serving, or to honor a particularly sacred icon or relic. When not being used, the fans are normally kept in stands behind the Holy Table (Altar).
Fans used by the Maronites, Oriental Orthodox and Assyrians are distinctive, having little hoops of metal or bells all around the circumference of the disks. At particularly solemn points of the liturgy, these are shaken gently to produce a tinkling and jingling sound, akin to the sound of multiple Sanctus bells.