Hi @simongornall ,
Thank you for your interest in the NXP MIMXRT product, I would like to provide service for you.
Do you must to use the GPIO_AD_24 and GPIO_AD_25 as the UART pin in the MIMXRT1170-EVKB board? If yes, I think you can use the on board VCOM directly. As just the J114/J115 to fan out the signal.

If you don't want to use the J114, J115, I think you can consider other UART pin, as RT1170 can support a lot of UARTs, but if you want to use the serial download mode UART, you still need to use J114, J115, you can find some 0.05pitch wire to connect it.
You may find the other UART, then let the pins connect to the 0.1pitch, then you can connect your external USB to UART tools.
Wish it helps you!
Best Regards,
kerry