Here's one thing you can do......remove your 3.5" drive, and substitute a new 5400rpm laptop drive. You won't notice much of a performance hit, and it opens up the case for better airflow, lower temps, and more room for a bigger cpu heatsink.
Also tidy up the wiring.....anything that improves airflow will allow better temps at lower fan speeds.
There's plenty room for improvement without adding a "blow-hole"....which usually makes computers noisier.