Combining the a solution for the two (2) needs, I came up with this -- back button assembly with vent. This assembly will allow additional 4 buttons in the back in a slanted position for better ergonomics plus a vent for a cooling fan. This should require minimal modding in the case to bore a hole for the fan and 1 to 2 small holes for the wires to connect to the buttons.
The Pi Zero might not need the cooling but one can still get benefit from the slanted back buttons
