With those mods, a tuner probably wouldn't be required, but like I said, it wouldn't be a bad idea either. There are different kinds of tuners out there. They basically reflash the stock computer with new parameters for fuel/air mixture and spark advance. There are cheap generic ones that just have a "one-size-fits-all" tune, but these could actually negate some of the gains you'd see with your mods, or at the very least, not take full advantage of the work you've done.
The SCT x-cal that I suggested stores 3 tunes, plus your factory tune so that you can return it to stock at any time. Basically, you tell an SCT liscensed tuner what you've done to your truck, then they take all of that into account and custom write 3 tunes for your truck. Examples could include tunes for fuel mileage, different fuel types, or torque if you tow a lot. It's the best way to get the most out of what you've done.
As for the escape throttle body, like I said, it's far from bolt on, and you probably wouldn't see much in the way of gains by simply opening up the throttle body a few mm. If you have to have it, the mating surface between the escape throttle body and our upper intakes isn't an exact match which leaves gaps. The only way to fill those gaps would be to use something like JB Weld, which may cause vacuum leaks if you can't get it smooth enough. Plus, if any of the JB Weld ever broke off, it would get sucked straight into your engine and ruin all of your work. The gains just are not worth the time/money thats required, and the risk of check engine lights, vacuum leaks, or worse. At least in my opinion.