I experimented with a number of fans. While they cured the heat problem, even a big fan (a nice Noctua 140mm) with a low speed was not anywhere close to silent. And anytime you're moving air, you're moving dirt, which would necessitate periodic disassembly and cleaning.
Edit: What I failed to make clear about Kramden's post was that small fans tend to turn at high RPM to move any appreciable amount of air, and are noisy by default. The quiet fans are large and spin slowly. Noctua has been instrumental in quiet fan design, and they have helped many computer users like me to build a tolerably quiet PC. But even with one of their biggest and quietest fans (the 140mm), the fan can be heard during quiet music passages, taking you 'out of the moment', so to speak. I put a link in Post #4 to the method I use now...moving the 80V pass transistors to the big heatsinks, installing the tallest heatsinks I can squeeze in there for the 13V and 8 & 5V supplies, removing the stock 80V heatsink altogether, and changing R202 to a 22 ohm 3W job. Both the 13V and the 8V pass transistors still get plenty toasty, but with the 80V transistors and heatsink out of the way there's tons more airflow around them and lifespan should be much better.